Iverson, Cheryl J
Iverson, Cheryl J is an individual health care provider with primary practice located at 1080 W Fond Du Lac St , Ripon WI 54971-9286. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Iverson, Cheryl J can be contacted via phone (920) 748-7000.Contact Information
Primary practice address
1080 W Fond Du Lac St
Ripon WI 54971-9286
Phone: (920) 748-7000
Fax: (920) 748-7236
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 46185-021 | Wisconsin |
Profile Details
| NPI number | 1497747885 |
|---|---|
| LBN Legal business name | Iverson, Cheryl J |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2005 |
| Last updated | Oct 24th, 2014 - about 12 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 | 1497747885 | NPPES |
| Wisconsin | MEDICAID | 43511200 |
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