Chadwell, Jennifer S.
Chadwell, Jennifer S. is an sole proprietor health care provider with primary practice located at 325 Richmond Street , Mount Vernon KY 40456-2712. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Chadwell, Jennifer S. can be contacted via phone (606) 256-5812.Contact Information
Primary practice address
325 Richmond Street
Mount Vernon KY 40456-2712
Phone: (606) 256-5812
Fax: (606) 256-3748
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 7004 | Kentucky |
Profile Details
| NPI number | 1194095398 |
|---|---|
| LBN Legal business name | Chadwell, Jennifer S. |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 4th, 2012 |
| Last updated | Jan 4th, 2012 - about 12 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 | 1194095398 | NPPES |
| Kentucky | MEDICAID | 60070042 |
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