Everts, Jamie L

Everts, Jamie L is an individual health care provider with primary practice located at 1100 Gateway Ct , West Bend WI 53095. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Everts, Jamie L can be contacted via phone (262) 306-6100.

Contact Information

Primary practice address
1100 Gateway Ct West Bend WI 53095
Phone: (262) 306-6100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 9910 Wisconsin

Profile Details

NPI number 1689708976
LBN Legal business name Everts, Jamie L
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2007
Last updated Dec 8th, 2021 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689708976 NPPES
Wisconsin MEDICAID 40382600

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