Wiegand, Jennifer S.

Wiegand, Jennifer S. is an sole proprietor health care provider with primary practice located at 19063 12Th Ave Ne , Poulsbo WA 98370-7334. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Wiegand, Jennifer S. can be contacted via phone (360) 779-7956.

Contact Information

Primary practice address
19063 12Th Ave Ne Poulsbo WA 98370-7334
Fax: (360) 697-1319
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MAOOO20316 Washington

Profile Details

NPI number 1285771451
LBN Legal business name Wiegand, Jennifer S.
Credentials LMP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2007
Last updated Jul 8th, 2007 - about 19 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 1285771451 NPPES
Washington Other MAOOO20316 LMP LICENSE #

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