Bleck, Jennifer Danielle

Bleck, Jennifer Danielle is an sole proprietor health care provider with primary practice located at 2725 Mendocino Ave , Santa Rosa CA 95403. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Bleck, Jennifer Danielle can be contacted via phone (707) 545-4537.

Contact Information

Primary practice address
2725 Mendocino Ave Santa Rosa CA 95403
Phone: (707) 545-4537
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1326683350
LBN Legal business name Bleck, Jennifer Danielle
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 13th, 2019
Last updated Jan 6th, 2023 - about 3 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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