JERRY MICHAEL SELNER (NPI# 1760966162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760966162 |
| Entity Type | Individual |
| Full Name | JERRY MICHAEL SELNER |
| Practice Address |
N2526 County Road B Kewaunee WI 54216-9695 |
| Practice Telephone | 9203880225 |
| Mailing Telephone | 9203880225 |
| Enumeration Date | 2018-09-20 |
| Last Update Date | 2018-09-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171WH0202X |
Contractor Specialization: Home Modifications |
Other Service Providers |
| Street Address |
N2526 COUNTY ROAD B |
| City | KEWAUNEE |
| State | WI |
| Zip Code | 54216-9695 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114436284 | Rebecca M Kasten | Massage Therapist | 224 Ellis St., Kewaunee, WI 54216 | 2017-09-21 |
| 1780932772 | Tricia Lynn Keister | Registered Nurse | N6028 County Road D, Kewaunee, WI 54216 | 2012-08-22 |
| 1295988061 | Carol Jean Mueller | Licensed Practical Nurse | N 1199 Hwy 42, Kewaunee, WI 54216 | 2008-10-24 |
| 1578754511 | Kenneth J & Marilyn M Secor | Assisted Living Facility | 1204 Fourth St, Kewaunee, WI 54216 | 2007-08-06 |
| 1073548046 | Aurora Pharmacy Inc | Pharmacy | 931 Marquette Dr, Kewaunee, WI 54216 | 2006-07-11 |
| 1376572529 | Richard James Seifert | Social Worker | 810 Lincoln St, Kewaunee, WI 54216 | 2006-07-01 |
| 1639141955 | Marcus Arnold Steele | Chiropractor | 1218 Ellis Street, Steele Chiropractic Clinic, Kewaunee, WI 54216 | 2006-02-02 |
| 1447773783 | Marie G Smith | Dietitian, Registered | 575 4th St, Kewaunee, WI 54216 | 2017-07-19 |
| 1952429300 | Lori M Nellis | Social Worker | 810 Lincoln Street, Kewaunee, WI 54216 | 2007-03-26 |
| 1447395389 | Anthony Michael Sachse | Physical Therapist | 575 4th St, Kewaunee, WI 54216 | 2007-02-20 |
| Find all providers in zip 54216 | ||||
| Taxonomy Code | 171WH0202X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| Specialization | Home Modifications |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508417007 | M Squared Nc LLC Dba Action Fence | Contractor | 5507 Red Oak Trl, Mc Farland, WI 53558-8411 | 2019-09-25 |
| 1770131492 | Timothy Brandt | Contractor | 524 S Albert Ave, Reedsburg, WI 53959-1827 | 2019-08-27 |
| 1104479955 | Lanita Dorwin | Contractor | W4794 County Road B, Durand, WI 54736-4614 | 2019-07-22 |
| 1164074688 | Blaine M Rogers | Contractor | 6200 Sylvan Ln, Monona, WI 53716-3835 | 2019-07-15 |
| 1306404165 | Teresa Konz | Contractor | N6085 State Road 32, Sheboygan Falls, WI 53085-2341 | 2019-06-05 |
| 1578129995 | Cale Armstrong | Contractor | S13009 Shifflet Rd, Spring Green, WI 53588-9696 | 2019-05-10 |
| 1346703980 | Dark Horse Creations LLC | Contractor | 901 North Ave, Madison, WI 53713-1209 | 2019-04-10 |
| 1124594700 | Mindy Leigh Hoppe | Contractor | 230936 Business Park Dr, Wausau, WI 54403-5840 | 2018-10-22 |
| 1902380504 | Stairgoddess, LLC | Contractor | 10 E College Ave Ste 116ab, Appleton, WI 54911-5756 | 2018-09-19 |
| 1003397720 | Chad Michael Stewart | Contractor | 7473 Pine Rd, Minocqua, WI 54548-9141 | 2018-08-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.