<Unavail>
LBN: Peter John Jacques
<Unavail> is an health care organization with primary practice located at W4652 Glenn St , Appleton WI 54913-9563. The organization recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Suppliers / Customized Equipment. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is the primary health care specialty.
Peter John Jacques can be contacted via phone (920) 540-8840, or through Jacques, Peter John via phone (920) 540-8840.
Contact Information
Primary practice address
W4652 Glenn St
Appleton WI 54913-9563
Phone: (920) 540-8840
Fax: (866) 878-1996
Website:
Authorized official contact:
Name: Jacques, Peter John Physical Therapist (PT)
Phone: (920) 540-8840
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 3448024 | Wisconsin |
| Suppliers / Customized Equipment | 332BC3200X |
Profile Details
| NPI number | 1952597486 |
|---|---|
| LBN Legal business name | Peter John Jacques |
| DBA Doing business as | <Unavail> |
| Authorized official | Jacques, Peter John Physical Therapist (PT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 18th, 2007 |
| Last updated | Jan 30th, 2013 - about 13 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952597486 | NPPES |
| Wisconsin | MEDICAID | 41750700 |
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