Wojtecki, Jeremy Jason

Wojtecki, Jeremy Jason is an individual health care provider with primary practice located at 150 S Sunny Slope Rd Suite 136, Brookfield WI 53005-6461. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Wojtecki, Jeremy Jason can be contacted via phone (262) 786-4550.

Contact Information

Primary practice address
150 S Sunny Slope Rd Suite 136 Brookfield WI 53005-6461
Phone: (262) 786-4550
Fax: (262) 786-4552
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 2577-023 Wisconsin

Profile Details

NPI number 1871812180
LBN Legal business name Wojtecki, Jeremy Jason
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2010
Last updated Jan 24th, 2014 - about 11 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 1871812180 NPPES
Wisconsin MEDICAID 1871812180

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