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Contact Information

MATT JENKINS, CAA
W180N8085 TOWN HALL RD
MENOMONEE FALLS, WI53051-3518
 Phone: 262-257-5100
 Fax: 262-518-5052
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiologist Assistant

367H00000X 32 Anesthesiology Assistant
Indicates primary specialty

NPI Profile & details for MATT JENKINS · (Male)

NPI # 1104585322
Status Active
Credentials CAA
Entity Individual
Enumeration date 12/15/2021
Last updated 08/15/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • WI License # 554-17
  • WI Medicaid 100281630
Hospital affiliation(s)
  • MEDICAL CENTER OF TRINITY - (Acute Care)
    9332 SR 54, STE 401
    TRINITY, FL 34655
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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