Wiedmeyer, Jennifer

Wiedmeyer, Jennifer is an sole proprietor health care provider with primary practice located at 1119 N Wisconsin St , Port Washington WI 53074-1209. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Wiedmeyer, Jennifer can be contacted via phone (262) 284-5892.

Contact Information

Primary practice address
1119 N Wisconsin St Port Washington WI 53074-1209
Phone: (262) 284-5892
Fax: (262) 284-1612
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 3750-154 Wisconsin

Profile Details

NPI number 1730431990
LBN Legal business name Wiedmeyer, Jennifer
Credentials C.F.,SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 11th, 2012
Last updated Oct 11th, 2012 - about 14 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 1730431990 NPPES
Wisconsin Other 525586 MEDICARE NUMBER
Wisconsin MEDICAID 20182700 MEDICARE NUMBER

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