Michael, Jack Alan
Michael, Jack Alan is an individual health care provider with primary practice located at 2626 N 76Th St Ste 105 , Wauwatosa WI 53213-1137. 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. Michael, Jack Alan can be contacted via phone (414) 774-7794.Contact Information
Primary practice address
2626 N 76Th St Ste 105
Wauwatosa WI 53213-1137
Phone: (414) 774-7794
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 13960 | Wisconsin |
Profile Details
| NPI number | 1386163731 |
|---|---|
| LBN Legal business name | Michael, Jack Alan |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 18th, 2017 |
| Last updated | Sep 18th, 2017 - about 9 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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