Prekop, Jean Marie

Prekop, Jean Marie is an individual health care provider with primary practice located at 2895 S Moorland Rd , New Berlin WI 53151-3743. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Prekop, Jean Marie can be contacted via phone (262) 782-9015.

Contact Information

Primary practice address
2895 S Moorland Rd New Berlin WI 53151-3743
Phone: (262) 782-9015
Fax: (262) 782-9013
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2048-024 Wisconsin

Profile Details

NPI number 1154493716
LBN Legal business name Prekop, Jean Marie
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2006
Last updated Jul 9th, 2007 - about 19 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 1154493716 NPPES
Wisconsin MEDICAID 40058500

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