Hoberg, Jessica

Hoberg, Jessica is an individual health care provider with primary practice located at 11101 W Lincoln Ave Rogers Memorial Hospital, West Allis WI 53227. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Hoberg, Jessica can be contacted via phone (414) 327-3000.

Contact Information

Primary practice address
11101 W Lincoln Ave Rogers Memorial Hospital West Allis WI 53227
Phone: (414) 327-3000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 246333 Wisconsin

Profile Details

NPI number 1174627400
LBN Legal business name Hoberg, Jessica
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2006
Last updated Oct 13th, 2015 - about 11 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 1174627400 NPPES
Wisconsin MEDICAID 41195500

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