Peschman, Jacob Robert

Peschman, Jacob Robert is an individual health care provider with primary practice located at 9200 W Wisconsin Ave , Milwaukee WI 53226-3522. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Trauma Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgical Critical Care is his primary health care specialty. Peschman, Jacob Robert can be contacted via phone (414) 805-8623.

Contact Information

Primary practice address
9200 W Wisconsin Ave Milwaukee WI 53226-3522
Phone: (414) 805-8623
Fax: (414) 805-8641
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 56830 Wisconsin
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X 56830 Wisconsin
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 56830 Wisconsin

Profile Details

NPI number 1396060679
LBN Legal business name Peschman, Jacob Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2010
Last updated Jun 24th, 2021 - about 5 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 1396060679 NPPES
Wisconsin MEDICAID 1396060679

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