Offner, Jeanmaire Rene

Offner, Jeanmaire Rene is an individual health care provider with primary practice located at 516 E. Nizhoni Blvd Box 1337, Gallup NM 87301-1337. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Offner, Jeanmaire Rene can be contacted via phone (505) 722-1262.

Contact Information

Primary practice address
516 E. Nizhoni Blvd Box 1337 Gallup NM 87301-1337
Fax: (505) 726-8557
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X DR-30024 Colorado

Profile Details

NPI number 1184653941
LBN Legal business name Offner, Jeanmaire Rene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2006
Last updated Nov 1st, 2011 - about 15 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 1184653941 NPPES
Arizona MEDICAID 889941
Arizona MEDICAID 89526350

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