Wentworth, Jennifer S.

Wentworth, Jennifer S. is an individual health care provider with primary practice located at 484 Golden Autumn Way Ste 201 , Bowling Green KY 42103-6914. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Wentworth, Jennifer S. can be contacted via phone (270) 780-2494.

Contact Information

Primary practice address
484 Golden Autumn Way Ste 201 Bowling Green KY 42103-6914
Phone: (270) 780-2494
Fax: (270) 780-0465
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 26616 Kentucky

Profile Details

NPI number 1033115431
LBN Legal business name Wentworth, Jennifer S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Nov 10th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033115431 NPPES
Kentucky MEDICAID 64266166

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