Burtner, Jennifer Jennine

Burtner, Jennifer Jennine is an sole proprietor health care provider with primary practice located at 1501 Ne Medical Center Dr , Bend OR 97701. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Burtner, Jennifer Jennine can be contacted via phone (541) 382-4900.

Contact Information

Primary practice address
1501 Ne Medical Center Dr Bend OR 97701
Phone: (541) 382-4900
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD00045799 Washington
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD213992 Oregon

Profile Details

NPI number 1518903558
LBN Legal business name Burtner, Jennifer Jennine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 20th, 2006
Last updated Apr 16th, 2024 - about last year

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 1518903558 NPPES
Washington MEDICAID 8375610
Washington Other 0203902
Washington Other 2166BU
Washington MEDICAID 500615173

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