Bongartz, Jennifer L
Bongartz, Jennifer L is an individual health care provider with primary practice located at Us Hwy 491 North , Shiprock NM 87420-0160. She recently has only one registered license in Pharmacy Service Providers / Pharmacotherapy, which is considered as her primary health care specialty. Bongartz, Jennifer L can be contacted via phone (505) 368-6001.Contact Information
Primary practice address
Us Hwy 491 North
Shiprock NM 87420-0160
Phone: (505) 368-6001
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacotherapy | 1835P1200X | RP00007685 | New Mexico |
Profile Details
| NPI number | 1104195874 |
|---|---|
| LBN Legal business name | Bongartz, Jennifer L |
| Credentials | PHARMD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 23rd, 2011 |
| Last updated | Aug 23rd, 2013 - about 11 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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