Klenske, Jennifer L
Klenske, Jennifer L is an individual health care provider with primary practice located at 611 E Sherman Ave , Fort Atkinson WI 53538-1960. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Klenske, Jennifer L can be contacted via phone (920) 568-5000.Contact Information
Primary practice address
611 E Sherman Ave
Fort Atkinson WI 53538-1960
Phone: (920) 568-5000
Fax: (920) 568-4004
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036-099993 | Illinois |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 44245 | Wisconsin |
Profile Details
| NPI number | 1841350022 |
|---|---|
| LBN Legal business name | Klenske, Jennifer L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 11th, 2006 |
| Last updated | Nov 16th, 2017 - about 9 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 | 1841350022 | NPPES |
| Wisconsin | MEDICAID | 34184600 | |
| Wisconsin | MEDICAID | 036099993 1 |
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