Weiskopf, Jerome S

Weiskopf, Jerome S is an individual health care provider with primary practice located at 6533 Lexus Drive , Rockford IL 61108-3015. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery of the Hand, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Surgery of the Hand is his primary health care specialty. Weiskopf, Jerome S can be contacted via phone (815) 397-4180.

Contact Information

Primary practice address
6533 Lexus Drive Rockford IL 61108-3015
Phone: (815) 397-4180
Fax: (815) 397-1250
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery of the Hand 2086S0105X 03652893 Illinois
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 03652893 Illinois

Profile Details

NPI number 1992814628
LBN Legal business name Weiskopf, Jerome S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated Jul 25th, 2008 - about 18 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 1992814628 NPPES
Wisconsin Other 362958896015 BLUE CROSS OF WI
Wisconsin Other 131087000 BLUE CROSS OF WI
Wisconsin Other 101-00485 BLUE CROSS OF WI
Wisconsin MEDICAID 036052893 BLUE CROSS OF WI
Wisconsin Other 31303800 BLUE CROSS OF WI
Wisconsin Other 791240158 BLUE CROSS OF WI

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