Schutter, Jennifer Leigh

Schutter, Jennifer Leigh is an individual health care provider with primary practice located at 1301 Pennsylvania Ave , Fort Worth TX 76104-2122. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Schutter, Jennifer Leigh can be contacted via phone (972) 249-0200.

Contact Information

Primary practice address
1301 Pennsylvania Ave Fort Worth TX 76104-2122
Phone: (972) 249-0200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2002008094 Missouri
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 04-29770 Kansas
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X R0950 Texas

Profile Details

NPI number 1144214594
LBN Legal business name Schutter, Jennifer Leigh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2005
Last updated Mar 2nd, 2017 - about 9 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 1144214594 NPPES
Missouri MEDICAID 205815103
Missouri Other 502470
Missouri Other 7474346
Missouri MEDICAID 100426410A
Missouri MEDICAID 100426410B
Missouri Other 31206011

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