Paul George Jenkins
Nephrologist
1575 Rivercenter Dr Ste 104
Milwaukee
, Wisconsin 53212
Paul George Jenkins
Nephrologist
1575 Rivercenter Dr Ste 104
Milwaukee
, Wisconsin 53212
(414) 274-7525
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About
Features
Specialties
- Nephrologist
Languages spoken
- English
Location
First Address
- Paul George Jenkins
- 1575 Rivercenter Dr Ste 104
- Milwaukee, WI
- Zip : 53212
- Fax : (414) 274-7525
- Phone : (414) 274-7520
Second Address
- Paul George Jenkins
- 1575 Rivercenter Dr Ste 104
- Milwaukee, WI
- Zip : 53212
- Fax : (414) 274-7525
- Phone : (414) 274-7520
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RN0300X | Nephrologist | 17681020 | WI |
National Provider Identifier
| NPI | 1053386862 |
|---|---|
| Provider Name | Paul George Jenkins |
| First Address | Milwaukee, WI 53212 |
| Second Address | Milwaukee, WI 53212 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/02/2006 |
| Last Update Date | 20/12/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 30916600 | (05) | WI |
| B53851 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.