Sizemore, Jennifer
Sizemore, Jennifer is an individual health care provider with primary practice located at 1210 W 5Th St , London KY 40741-2112. 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. Sizemore, Jennifer can be contacted via phone (606) 864-4040.Contact Information
Primary practice address
1210 W 5Th St
London KY 40741-2112
Phone: (606) 864-4040
Fax: (606) 878-3500
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA565 | Kentucky |
Profile Details
| NPI number | 1083706774 |
|---|---|
| LBN Legal business name | Sizemore, Jennifer |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 29th, 2006 |
| Last updated | May 3rd, 2019 - about 7 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 | 1083706774 | NPPES |
| Kentucky | MEDICAID | 95003034 |
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