Brantingham, Jennifer Lyne

Brantingham, Jennifer Lyne is an individual health care provider with primary practice located at 6905 Hospital Dr Suite 130, Dublin OH 43016-9600. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Brantingham, Jennifer Lyne can be contacted via phone (614) 923-0300.

Contact Information

Primary practice address
6905 Hospital Dr Suite 130 Dublin OH 43016-9600
Phone: (614) 923-0300
Fax: (614) 923-0400
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1164634515
LBN Legal business name Brantingham, Jennifer Lyne
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2007
Last updated Mar 25th, 2022 - about 2 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 1164634515 NPPES
Ohio Other H471532 MEDICARE
Ohio MEDICAID 0164997 MEDICARE

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