King, Jennifer Rae

King, Jennifer Rae is an individual health care provider with primary practice located at 8200 W Silver Spring Dr , Milwaukee WI 53218-2552. She recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as her primary health care specialty. King, Jennifer Rae can be contacted via phone (414) 267-8521.

Contact Information

Primary practice address
8200 W Silver Spring Dr Milwaukee WI 53218-2552
Phone: (414) 267-8521
Fax: (414) 464-6472
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 36971-020 Wisconsin

Profile Details

NPI number 1770647364
LBN Legal business name King, Jennifer Rae
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2006
Last updated Dec 1st, 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 1770647364 NPPES
Wisconsin MEDICAID 32265200

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