Russ, Jennifer Vermaelen

Russ, Jennifer Vermaelen is an individual health care provider with primary practice located at 136 Jefferson Davis Blvd , Natchez MS 39120-5104. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Russ, Jennifer Vermaelen can be contacted via phone (601) 442-5439.

Contact Information

Primary practice address
136 Jefferson Davis Blvd Natchez MS 39120-5104
Phone: (601) 442-5439
Fax: (601) 442-3755
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 16341 Mississippi

Profile Details

NPI number 1619925666
LBN Legal business name Russ, Jennifer Vermaelen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Jul 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619925666 NPPES
Louisiana MEDICAID 1429074
Louisiana Other 1230202
Louisiana Other 7318135
Louisiana MEDICAID 0121892

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