Ecord, Jenny S

Ecord, Jenny S is an individual health care provider with primary practice located at 3243 E Murdock St , Wichita KS 67208-3052. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Ecord, Jenny S can be contacted via phone (316) 500-8900.

Contact Information

Primary practice address
3243 E Murdock St Wichita KS 67208-3052
Phone: (316) 500-8900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 44567 Kansas

Profile Details

NPI number 1033113576
LBN Legal business name Ecord, Jenny S
Credentials A.R.N.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Nov 4th, 2014 - about 12 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 1033113576 NPPES
Oklahoma MEDICAID 200104550B
Oklahoma MEDICAID 200421040B

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