Jaeger, Duane C
Jaeger, Duane C is an individual health care provider with primary practice located at 5500 E Kellogg Dr , Wichita KS 67218-1607. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult, which is considered as his primary health care specialty. Jaeger, Duane C can be contacted via phone (316) 651-3621.Contact Information
Primary practice address
5500 E Kellogg Dr
Wichita KS 67218-1607
Phone: (316) 651-3621
Fax: (316) 681-5570
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult | 364SP0809X | 74618 | Kansas |
Profile Details
| NPI number | 1659324663 |
|---|---|
| LBN Legal business name | Jaeger, Duane C |
| Credentials | ARNP, BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 19th, 2006 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659324663 | NPPES |
| Kansas | Other | 74618 | PSYCHIATRIC CERTIFICATION |
| Kansas | Other | 14-052505-012 | PSYCHIATRIC CERTIFICATION |
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