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Contact Information

JENNIFER E EARL BOEHM, PHD, ATC
3409 N DOWNER AVE
PAVILION SUITE 350
MILWAUKEE, WI53211
 Phone: 414-229-3227
 Fax: 414-229-3366
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for JENNIFER E EARL BOEHM · (Female)

NPI # 1497140123
Status Active
Credentials PHD, ATC
Entity Individual
Enumeration date 03/31/2015
Last updated 03/31/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 515-039
Hospital affiliation(s) Not Available
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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