Etling, Jennifer L

Etling, Jennifer L is an individual health care provider with primary practice located at 6 Jungermann Circle Ste 205, St Peters MO 63376. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Etling, Jennifer L can be contacted via phone (636) 441-2122.

Contact Information

Primary practice address
6 Jungermann Circle Ste 205 St Peters MO 63376
Phone: (636) 441-2122
Fax: (636) 441-5290
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 2005000203 Missouri

Profile Details

NPI number 1528020328
LBN Legal business name Etling, Jennifer L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2006
Last updated Jan 6th, 2022 - about 4 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 1528020328 NPPES
Other 165817 BLUE SHIELD
MEDICAID 209370105 BLUE SHIELD
Other M6725 BLUE SHIELD
Other 165817 BLUE SHIELD
Other 4309109800 BLUE SHIELD
Other 017283 BLUE SHIELD
Other 12593 BLUE SHIELD
Other 231210 BLUE SHIELD
Other P00195292 BLUE SHIELD
Other 1700267 BLUE SHIELD
Other 487573 BLUE SHIELD
Other 7986366 BLUE SHIELD
Other H74520 BLUE SHIELD

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