Dewilde, Jennifer Ranee

Dewilde, Jennifer Ranee is an individual health care provider with primary practice located at 65 Ramapo Valley Rd Ste 102B , Mahwah NJ 07430-1182. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Chiropractic Providers / Chiropractor. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Dewilde, Jennifer Ranee can be contacted via phone (732) 300-0833.

Contact Information

Primary practice address
65 Ramapo Valley Rd Ste 102B Mahwah NJ 07430-1182
Phone: (732) 300-0833
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F09231068 Missouri
Chiropractic Providers / Chiropractor 111N00000X 038010352 Illinois

Profile Details

NPI number 1306905054
LBN Legal business name Dewilde, Jennifer Ranee
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2006
Last updated Jan 24th, 2024 - about 10 months 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 1306905054 NPPES
Illinois Other 671268 UNITED HEALTHCARE
Illinois MEDICAID 038010352 UNITED HEALTHCARE
Illinois Other 7932010 UNITED HEALTHCARE

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