Ender, Jeffrey Ivan

Ender, Jeffrey Ivan is an individual health care provider with primary practice located at 6325 Hospital Pkwy , Duluth GA 30097-5775. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Ender, Jeffrey Ivan can be contacted via phone (404) 778-8311.

Contact Information

Primary practice address
6325 Hospital Pkwy Duluth GA 30097-5775
Phone: (404) 778-8311
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 84437 Georgia

Profile Details

NPI number 1982674651
LBN Legal business name Ender, Jeffrey Ivan
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Oct 26th, 2021 - about 5 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 1982674651 NPPES
Nevada MEDICAID 100504134

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