Wegenhoft, Jennifer
Wegenhoft, Jennifer is an individual health care provider with primary practice located at 610 S Austin Rd , Eagle Lake TX 77434-3202. 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. Wegenhoft, Jennifer can be contacted via phone (979) 234-2551.Contact Information
Primary practice address
610 S Austin Rd
Eagle Lake TX 77434-3202
Phone: (979) 234-2551
Fax: (979) 234-5994
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA10912 | Texas |
Profile Details
| NPI number | 1104374396 |
|---|---|
| LBN Legal business name | Wegenhoft, Jennifer |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 15th, 2016 |
| Last updated | Nov 18th, 2016 - about 10 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 | 1104374396 | NPPES |
| Other | 1137272 | NCCPA |
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