Rau, Jennifer L.

Rau, Jennifer L. is an individual health care provider with primary practice located at 8509 S Fir Ave , Broken Arrow OK 74011-1220. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Rau, Jennifer L. can be contacted via phone (918) 286-0412.

Contact Information

Primary practice address
8509 S Fir Ave Broken Arrow OK 74011-1220
Phone: (918) 286-0412
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1566 Oklahoma

Profile Details

NPI number 1164584868
LBN Legal business name Rau, Jennifer L.
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2006
Last updated Nov 3rd, 2008 - about 18 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 1164584868 NPPES
Oklahoma MEDICAID 200108800A

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