Gengler, Jessica Lynn
Gengler, Jessica Lynn is an sole proprietor health care provider with primary practice located at 851 E 5Th St , Washington MO 63090. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Gengler, Jessica Lynn can be contacted via phone (636) 239-8585.Contact Information
Primary practice address
851 E 5Th St
Washington MO 63090
Phone: (636) 239-8585
Fax: (636) 239-8553
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 5101018918 | Michigan |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | OS13423 | Florida |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 2019001308 | Missouri |
Profile Details
| NPI number | 1629380522 |
|---|---|
| LBN Legal business name | Gengler, Jessica Lynn |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 8th, 2010 |
| Last updated | Jan 14th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629380522 | NPPES |
| Florida | MEDICAID | 015173300 |
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