Ellet, Jennifer

Ellet, Jennifer is an individual health care provider with primary practice located at 2101 N Waldron St , Hutchinson KS 67502-1131. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Renal, which is considered as her primary health care specialty. Ellet, Jennifer can be contacted via phone (620) 669-2500.

Contact Information

Primary practice address
2101 N Waldron St Hutchinson KS 67502-1131
Phone: (620) 669-2500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Renal 133VN1005X 999 Kansas

Profile Details

NPI number 1093902629
LBN Legal business name Ellet, Jennifer
Credentials RD/LD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2007
Last updated Jul 29th, 2010 - about 16 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 1093902629 NPPES
Kansas MEDICAID 200477740 A

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