Spahr, Jodi O

Spahr, Jodi O is an individual health care provider with primary practice located at 4855 S Moorland Rd Ste 250 , New Berlin WI 53151-7494. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Spahr, Jodi O can be contacted via phone (262) 789-6020.

Contact Information

Primary practice address
4855 S Moorland Rd Ste 250 New Berlin WI 53151-7494
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 4166-33 Wisconsin

Profile Details

NPI number 1407966898
LBN Legal business name Spahr, Jodi O
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jul 21st, 2022 - about 4 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 1407966898 NPPES
Minnesota MEDICAID 298482100

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