Detert, Jenifer Karen

Detert, Jenifer Karen is an individual health care provider with primary practice located at Central Minnesota Emergency Physicians 1406 6Th Avenue North, St Cloud MN 56303-1901. 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. Detert, Jenifer Karen can be contacted via phone (320) 255-5656.

Contact Information

Primary practice address
Central Minnesota Emergency Physicians 1406 6Th Avenue North St Cloud MN 56303-1901
Phone: (320) 255-5656
Fax: (320) 656-7044
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 9545 Minnesota

Profile Details

NPI number 1689723629
LBN Legal business name Detert, Jenifer Karen
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2007
Last updated Aug 28th, 2007 - about 17 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 1689723629 NPPES
Minnesota Other 9545 STATE REGISTRATION NUMBER

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