Reese, Jennifer Marie Langman

Reese, Jennifer Marie Langman is an individual health care provider with primary practice located at 1818 N Meade St , Appleton WI 54911. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Reese, Jennifer Marie Langman can be contacted via phone (920) 731-8900.

Contact Information

Primary practice address
1818 N Meade St Appleton WI 54911
Phone: (920) 731-8900
Fax: (920) 225-1479
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 2065 Wisconsin

Profile Details

NPI number 1982792305
LBN Legal business name Reese, Jennifer Marie Langman
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2006
Last updated Jan 28th, 2011 - about 15 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 1982792305 NPPES
Wisconsin MEDICAID 42895900

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