Entress, Jeffrey J.
Entress, Jeffrey J. is an individual health care provider with primary practice located at 725 American Ave , Waukesha WI 53188-5031. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Entress, Jeffrey J. can be contacted via phone (262) 544-2011.Contact Information
Primary practice address
725 American Ave
Waukesha WI 53188-5031
Phone: (262) 544-2011
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 25247-020 | Wisconsin |
Profile Details
| NPI number | 1093790289 |
|---|---|
| LBN Legal business name | Entress, Jeffrey J. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 9th, 2005 |
| Last updated | Feb 14th, 2009 - about 17 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 | 1093790289 | NPPES |
| Other | 050039651 | RAIL ROAD MEDICARE | |
| MEDICAID | 30554200 | RAIL ROAD MEDICARE |
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