Ebersole, Jennifer Dawn

Ebersole, Jennifer Dawn is an individual health care provider with primary practice located at 1700 Avenue F , Dodge City KS 67801-4541. 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. Ebersole, Jennifer Dawn can be contacted via phone (620) 225-6621.

Contact Information

Primary practice address
1700 Avenue F Dodge City KS 67801-4541
Phone: (620) 225-6621
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 15-00388 Kansas

Profile Details

NPI number 1245283951
LBN Legal business name Ebersole, Jennifer Dawn
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Mar 31st, 2008 - 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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