Kraemer, Jacob

Kraemer, Jacob is an individual health care provider with primary practice located at 700 S Park St Ste A , Madison WI 53715-1830. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Kraemer, Jacob can be contacted via phone (608) 260-2900.

Contact Information

Primary practice address
700 S Park St Ste A Madison WI 53715-1830
Fax: (608) 260-3444
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 4301112189 Michigan
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 75282 Wisconsin

Profile Details

NPI number 1730601907
LBN Legal business name Kraemer, Jacob
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2017
Last updated Aug 4th, 2022 - about 4 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 1730601907 NPPES
Wisconsin MEDICAID 1730601907

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