Jeanne Damaschke is a Pediatrics in Kenosha, Wisconsin. Jeanne Damaschke practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Jeanne Damaschke is 1639342538. The last update date is 2008-04-11.
Jeanne Damaschke's current location address is 1218 79th St, Kenosha, Wisconsin. You can contact this provider via phone number 2626589500 and fax number 2626589621. The mailing address for Jeanne Damaschke is 1218 79th St, Kenosha, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeanne Damaschke |
|---|---|
| Address | 1218 79th St, Kenosha, Wisconsin |
| Phone Number | 2626589500 |
| Fax Number | 2626589621 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1639342538 |
|---|---|
| Provider Enumeration Date | 2008-04-11 |
| Last Updated Date | 2008-04-11 |
Provider Mailing Address Detail
| Address | 1218 79th St |
|---|---|
| City | Kenosha |
| State | Wisconsin (WI) |
| Post Code | 531436111 |
| Phone Number | 2626589500 |
| Fax Number | 2626589621 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 2251P0200X |
| Licence No | 5045-024 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, |
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What is the unique identification code assigned to Jeanne Damaschke by the Centers for Medicare & Medicaid Services?
The Jeanne Damaschke has been issued the NPI (National Provider Identifier) 1639342538. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Jeanne Damaschke?
The Jeanne Damaschke is physically situated at 1218 79Th St, in the city of Kenosha, state of WI, with the postal code 531436111.
What is the Jeanne Damaschke's specialty and taxonomy code?
The Jeanne Damaschke's specialty is Pediatrics, and the corresponding taxonomy code is 2251P0200X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1639342538 to Jeanne Damaschke?
The Centers for Medicare & Medicaid Services originally issued the 1639342538 to Jeanne Damaschke on 2008-04-11.
When was the information related to Jeanne Damaschke most recently updated or refreshed?
The details pertaining to the Jeanne Damaschke, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-04-11.
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