Poole, Jeffery A
Poole, Jeffery A is an individual health care provider with primary practice located at 3400 Ministry Pkwy , Weston WI 54476-5220. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Poole, Jeffery A can be contacted via phone (715) 393-1220.Contact Information
Primary practice address
3400 Ministry Pkwy
Weston WI 54476-5220
Phone: (715) 393-1220
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 1099 | Wisconsin |
Profile Details
| NPI number | 1336258466 |
|---|---|
| LBN Legal business name | Poole, Jeffery A |
| Credentials | PAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Feb 16th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336258466 | NPPES |
| Wisconsin | MEDICAID | 42985800 |
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