Queen, Jenny E

Queen, Jenny E is an individual health care provider with primary practice located at 1906 Blake Ave , Glenwood Springs CO 81601-4227. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Queen, Jenny E can be contacted via phone (970) 374-7291.

Contact Information

Primary practice address
1906 Blake Ave Glenwood Springs CO 81601-4227
Phone: (970) 374-7291
Fax: (970) 384-7293
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA1998 Colorado

Profile Details

NPI number 1437113578
LBN Legal business name Queen, Jenny E
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Sep 16th, 2014 - about 11 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 1437113578 NPPES
Colorado MEDICAID 48482552

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