Allender, Jennifer

Allender, Jennifer is an individual health care provider with primary practice located at 3535 Kettering Blvd , Moraine OH 45439-2014. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Allender, Jennifer can be contacted via phone (937) 395-6665.

Contact Information

Primary practice address
3535 Kettering Blvd Moraine OH 45439-2014
Phone: (937) 395-6665
Fax: (937) 395-6668
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 50.005273RX Ohio
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 50.005273RX Ohio

Profile Details

NPI number 1033624192
LBN Legal business name Allender, Jennifer
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2017
Last updated Nov 17th, 2020 - about 6 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 1033624192 NPPES
Ohio MEDICAID 0325536

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