Schenk, Jeffrey Jacob
Schenk, Jeffrey Jacob is an individual health care provider with primary practice located at 1303 N Main St , Cedar City UT 84721-9746. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Schenk, Jeffrey Jacob can be contacted via phone (435) 868-5567.Contact Information
Primary practice address
1303 N Main St
Cedar City UT 84721-9746
Phone: (435) 868-5567
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 13018467-1204 | Utah |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 0053687 | Colorado |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | DO1992 | Nevada |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | DR.0053687 | Colorado |
Profile Details
| NPI number | 1710285929 |
|---|---|
| LBN Legal business name | Schenk, Jeffrey Jacob |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 11th, 2011 |
| Last updated | Mar 22nd, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710285929 | NPPES |
| Colorado | MEDICAID | 07307039 | |
| Colorado | Other | P01381223 |
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