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
Phone: (608) 260-2900
Fax: (608) 260-3444
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730601907 | NPPES |
| Wisconsin | MEDICAID | 1730601907 |
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