Koeppel, Jenna L

Koeppel, Jenna L is an sole proprietor health care provider with primary practice located at 1032 E Sumner St , Hartford WI 53027-1608. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Koeppel, Jenna L can be contacted via phone (262) 670-4300.

Contact Information

Primary practice address
1032 E Sumner St Hartford WI 53027-1608
Phone: (262) 670-4300
Fax: (262) 670-4303
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 10488 Wisconsin

Profile Details

NPI number 1023226073
LBN Legal business name Koeppel, Jenna L
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 21st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1023226073 NPPES
Wisconsin MEDICAID 36103700

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