Kreuser, Jeffery L

Kreuser, Jeffery L is an sole proprietor health care provider with primary practice located at 279 S 17Th Ave Suite 3, West Bend WI 53095-3001. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Kreuser, Jeffery L can be contacted via phone (262) 335-0514.

Contact Information

Primary practice address
279 S 17Th Ave Suite 3 West Bend WI 53095-3001
Phone: (262) 335-0514
Fax: (262) 335-0514
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1848-024 Wisconsin

Profile Details

NPI number 1497735443
LBN Legal business name Kreuser, Jeffery L
Credentials LPT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2006
Last updated Jul 30th, 2010 - about 15 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 1497735443 NPPES
Wisconsin MEDICAID 40121700

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