Meincke-Reza, Jeffrey W

Meincke-Reza, Jeffrey W is an individual health care provider with primary practice located at 835 Parkside St , Ripon WI 54971-8505. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Meincke-Reza, Jeffrey W can be contacted via phone (920) 745-3500.

Contact Information

Primary practice address
835 Parkside St Ripon WI 54971-8505
Phone: (920) 745-3500
Fax: (920) 745-7930
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 41012 Wisconsin
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X K6887 Texas

Profile Details

NPI number 1629039607
LBN Legal business name Meincke-Reza, Jeffrey W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2006
Last updated Mar 7th, 2023 - about 3 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 1629039607 NPPES
Texas Other P00007908 RAILROAD MEDICARE
Texas Other 0036JT RAILROAD MEDICARE
Texas MEDICAID 200039200A RAILROAD MEDICARE
Texas Other 3101855 RAILROAD MEDICARE
Texas MEDICAID 045592503 RAILROAD MEDICARE
Texas Other 3000 RAILROAD MEDICARE

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