Jodi L Brehm is a Surgery in Kenosha, Wisconsin. Jodi L Brehm practices all healthcare services and medical treatments related to Surgery. The NPI Number for Jodi L Brehm is 1649216045. The last update date is 2021-11-24.
Jodi L Brehm's current location address is 10400 75th St, Kenosha, Wisconsin. You can contact this provider via phone number 2626485600 and fax number 2629485735. The mailing address for Jodi L Brehm is 10400 75th St, Kenosha, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jodi L Brehm |
|---|---|
| Address | 10400 75th St, Kenosha, Wisconsin |
| Phone Number | 2626485600 |
| Fax Number | 2629485735 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1649216045 |
|---|---|
| Provider Enumeration Date | 2006-06-22 |
| Last Updated Date | 2021-11-24 |
Provider Mailing Address Detail
| Address | 10400 75th St |
|---|---|
| City | Kenosha |
| State | Wisconsin (WI) |
| Post Code | 531427884 |
| Phone Number | 2626485600 |
| Fax Number | 2629485735 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 36112238 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36112238 | IL | -- | |
| 35354900 | WI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jodi L Brehm by the Centers for Medicare & Medicaid Services (CMS)?
The Jodi L Brehm has been assigned the NPI (National Provider Identifier) 1649216045. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Jodi L Brehm?
The Jodi L Brehm is physically situated at 10400 75Th St, in the city of Kenosha, state of WI, with the postal code 531427884.
What is Jodi L Brehm's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jodi L Brehm is Surgery, and the taxonomy code that classifies this field of practice is 208600000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1649216045 to Jodi L Brehm?
The Jodi L Brehm received its 1649216045 assignment from the Centers for Medicare & Medicaid Services on 2006-06-22.
As of what date was the information regarding Jodi L Brehm, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jodi L Brehm, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-11-24.