Klicka, Jonathan Jerry

Klicka, Jonathan Jerry is an individual health care provider with primary practice located at 324 E Wisconsin Ave Ste 1429 , Milwaukee WI 53202-4327. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Klicka, Jonathan Jerry can be contacted via phone (414) 276-3454.

Contact Information

Primary practice address
324 E Wisconsin Ave Ste 1429 Milwaukee WI 53202-4327
Phone: (414) 276-3454
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 0002953 Wisconsin

Profile Details

NPI number 1922159300
LBN Legal business name Klicka, Jonathan Jerry
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 14th, 2007
Last updated Jul 8th, 2007 - about 19 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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