Eickstaedt, Jennifer Ann

Eickstaedt, Jennifer Ann is an individual health care provider with primary practice located at 1518 Mulberry Ave , Muscatine IA 52761-3433. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Eickstaedt, Jennifer Ann can be contacted via phone (563) 264-9508.

Contact Information

Primary practice address
1518 Mulberry Ave Muscatine IA 52761-3433
Fax: (563) 264-0166
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 121529 Iowa

Profile Details

NPI number 1447590708
LBN Legal business name Eickstaedt, Jennifer Ann
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 25th, 2013
Last updated Jan 15th, 2014 - about 10 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 1447590708 NPPES
Iowa MEDICAID 1447590708

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