Gist, Jennifer G

Gist, Jennifer G is an individual health care provider with primary practice located at 865 Lincoln Rd Ste 200, Bettendorf IA 52722-4159. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Gist, Jennifer G can be contacted via phone (563) 344-8600.

Contact Information

Primary practice address
865 Lincoln Rd Ste 200 Bettendorf IA 52722-4159
Phone: (563) 344-8600
Fax: (563) 344-2967
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 33452 Iowa

Profile Details

NPI number 1306841168
LBN Legal business name Gist, Jennifer G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Jul 9th, 2007 - about 19 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 1306841168 NPPES
Other IA0132 JOHN DEERE HEALTH PLAN
Other 059729 JOHN DEERE HEALTH PLAN
Other 152589 JOHN DEERE HEALTH PLAN
Other 29717 JOHN DEERE HEALTH PLAN
MEDICAID 1207886 JOHN DEERE HEALTH PLAN

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