Good, Jennifer L
Good, Jennifer L is an individual health care provider with primary practice located at 1155 N Mayfair Rd , Wauwatosa WI 53226-3462. She recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Good, Jennifer L can be contacted via phone (414) 955-5990.Contact Information
Primary practice address
1155 N Mayfair Rd
Wauwatosa WI 53226-3462
Phone: (414) 955-5990
Fax: (414) 955-6282
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 31744-20 | Wisconsin |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 31744 | Wisconsin |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | MD057253L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | MD057253L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207RH0002X | MD057253L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 31744 | Wisconsin |
Profile Details
| NPI number | 1720039951 |
|---|---|
| LBN Legal business name | Good, Jennifer L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2006 |
| Last updated | Apr 9th, 2020 - about 6 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 | 1720039951 | NPPES |
| Pennsylvania | MEDICAID | 0015599400003 | |
| Pennsylvania | Other | 20274 | |
| Pennsylvania | Other | 828235 | |
| Pennsylvania | Other | 290008338 | |
| Pennsylvania | Other | 72476 | |
| Pennsylvania | Other | P000533 | |
| Pennsylvania | MEDICAID | 1720039951 | |
| Pennsylvania | Other | 203559 |
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