Aanestad, Jennifer R
Aanestad, Jennifer R is an individual health care provider with primary practice located at 619 5Th St , Durant IA 52747-7737. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Aanestad, Jennifer R can be contacted via phone (563) 785-4487.Contact Information
Primary practice address
619 5Th St
Durant IA 52747-7737
Phone: (563) 785-4487
Fax: (563) 785-6681
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 35343 | Iowa |
Profile Details
| NPI number | 1386649341 |
|---|---|
| LBN Legal business name | Aanestad, Jennifer R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2005 |
| Last updated | Jul 17th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386649341 | NPPES |
| Other | 4796890001 | DMERC | |
| MEDICAID | 0450395 | DMERC | |
| Other | 101683 | DMERC | |
| Other | IA01M6 | DMERC |
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