Kalata, Jennifer L.

Kalata, Jennifer L. is an individual health care provider with primary practice located at 2911 Tennyson Ave Ste 201 , Eugene OR 97408. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Kalata, Jennifer L. can be contacted via phone (541) 844-1495.

Contact Information

Primary practice address
2911 Tennyson Ave Ste 201 Eugene OR 97408
Phone: (541) 844-1495
Fax: (541) 844-1492
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA176991 Oregon

Profile Details

NPI number 1962515213
LBN Legal business name Kalata, Jennifer L.
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2006
Last updated Jun 21st, 2018 - about 8 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 1962515213 NPPES
Pennsylvania MEDICAID 001019016

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