Distler, Jennifer Lynn

Distler, Jennifer Lynn is an individual health care provider with primary practice located at 16428 E Kingstree Blvd , Fountain Hills AZ 85268-5440. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Distler, Jennifer Lynn can be contacted via phone (480) 837-4565.

Contact Information

Primary practice address
16428 E Kingstree Blvd Fountain Hills AZ 85268-5440
Phone: (480) 837-4565
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X

Profile Details

NPI number 1821284472
LBN Legal business name Distler, Jennifer Lynn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 18th, 2007
Last updated Sep 18th, 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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