Achenbach, Jennifer L

Achenbach, Jennifer L is an individual health care provider with primary practice located at 800 Mercy Dr , Council Bluffs IA 51503-3128. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Achenbach, Jennifer L can be contacted via phone (712) 325-2484.

Contact Information

Primary practice address
800 Mercy Dr Council Bluffs IA 51503-3128
Phone: (712) 325-2484
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X A094527 Iowa

Profile Details

NPI number 1013967280
LBN Legal business name Achenbach, Jennifer L
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Jun 16th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013967280 NPPES
Iowa MEDICAID 0467475
Iowa MEDICAID 100251147-00
Iowa MEDICAID 0437475
Iowa Other 241464

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