Moldvan-Jacobs, June Constantza

Moldvan-Jacobs, June Constantza is an individual health care provider with primary practice located at N84W16889 Menomonee Ave , Menomonee Falls WI 53051-2810. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Moldvan-Jacobs, June Constantza can be contacted via phone (262) 251-7500.

Contact Information

Primary practice address
N84W16889 Menomonee Ave Menomonee Falls WI 53051-2810
Phone: (262) 251-7500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 33953 Wisconsin

Profile Details

NPI number 1942207741
LBN Legal business name Moldvan-Jacobs, June Constantza
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Feb 14th, 2014 - about 12 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 1942207741 NPPES
Wisconsin MEDICAID 31981400

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