Lyke, Jeanne M
Lyke, Jeanne M is an individual health care provider with primary practice located at 835 Parkside St , Ripon WI 54971-8505. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Lyke, Jeanne M can be contacted via phone (920) 745-3560.Contact Information
Primary practice address
835 Parkside St
Ripon WI 54971-8505
Phone: (920) 745-3560
Fax: (920) 926-8370
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 34644 | Wisconsin |
Profile Details
| NPI number | 1033103833 |
|---|---|
| LBN Legal business name | Lyke, Jeanne M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 7th, 2005 |
| Last updated | Oct 26th, 2020 - about 6 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 | 1033103833 | NPPES |
| Wisconsin | MEDICAID | 31943400 |
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