Spady, Jennifer L.

Spady, Jennifer L. is an individual health care provider with primary practice located at 1310 Broadway , Wisconsin Dells WI 53965-1358. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Spady, Jennifer L. can be contacted via phone (608) 253-1171.

Contact Information

Primary practice address
1310 Broadway Wisconsin Dells WI 53965-1358
Phone: (608) 253-1171
Fax: (608) 253-8012
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 3692-023 Wisconsin

Profile Details

NPI number 1528443108
LBN Legal business name Spady, Jennifer L.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2015
Last updated Jul 25th, 2016 - about 10 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 1528443108 NPPES
Wisconsin MEDICAID 1528443108

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