Mcchrystal, Jacob
Mcchrystal, Jacob is an individual health care provider with primary practice located at 215 Washington St , Grafton WI 53024-1700. 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. Mcchrystal, Jacob can be contacted via phone (262) 375-3700.Contact Information
Primary practice address
215 Washington St
Grafton WI 53024-1700
Phone: (262) 375-3700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 16003-24 | Wisconsin |
Profile Details
| NPI number | 1184335366 |
|---|---|
| LBN Legal business name | Mcchrystal, Jacob |
| Credentials | DPT, PT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 8th, 2022 |
| Last updated | Dec 19th, 2023 - about 2 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 | 1184335366 | NPPES |
| Wisconsin | MEDICAID | 100259203 |
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