Dykes, Jennifer A
Dykes, Jennifer A is an sole proprietor health care provider with primary practice located at 7490 156Th St , Chippewa Falls WI 54729-1425. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Dykes, Jennifer A can be contacted via phone (715) 726-3447.Contact Information
Primary practice address
7490 156Th St
Chippewa Falls WI 54729-1425
Phone: (715) 726-3447
Fax: (715) 726-3649
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | 3512-026 | Wisconsin |
Profile Details
| NPI number | 1093906125 |
|---|---|
| LBN Legal business name | Dykes, Jennifer A |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 5th, 2007 |
| Last updated | Aug 5th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093906125 | NPPES |
| Wisconsin | MEDICAID | 40888800 |
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