Wendt, Jeanette K
Wendt, Jeanette K is an sole proprietor health care provider with primary practice located at 1631 W Ina Rd Ste 151 , Tucson AZ 85704-1907. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Wendt, Jeanette K can be contacted via phone (520) 742-1833.Contact Information
Primary practice address
1631 W Ina Rd Ste 151
Tucson AZ 85704-1907
Phone: (520) 742-1833
Fax: (520) 742-7548
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 17000 | Arizona |
Profile Details
| NPI number | 1104811397 |
|---|---|
| LBN Legal business name | Wendt, Jeanette K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 14th, 2005 |
| Last updated | Jul 21st, 2022 - about 4 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 | 1104811397 | NPPES |
| Arizona | MEDICAID | 270041 |
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