Gantt, Jennifer

Gantt, Jennifer is an individual health care provider with primary practice located at 7589 Tylers Place Blvd , West Chester OH 45069-6308. 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. Gantt, Jennifer can be contacted via phone (513) 755-4700.

Contact Information

Primary practice address
7589 Tylers Place Blvd West Chester OH 45069-6308
Phone: (513) 755-4700
Fax: (513) 755-4717
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 55000068RX Ohio

Profile Details

NPI number 1609028620
LBN Legal business name Gantt, Jennifer
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 22nd, 2008
Last updated Feb 7th, 2013 - about 13 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 1609028620 NPPES
Ohio Other 50002036 PA

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