Ingersoll, Jenna Renee
Ingersoll, Jenna Renee is an individual health care provider with primary practice located at 7665 Us Highway 2 , Iron River WI 54847-4690. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Ingersoll, Jenna Renee can be contacted via phone (715) 372-5001.Contact Information
Primary practice address
7665 Us Highway 2
Iron River WI 54847-4690
Phone: (715) 372-5001
Fax: (715) 372-5067
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 10355275-1205 | Utah |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 68702 | Wisconsin |
Profile Details
| NPI number | 1275944563 |
|---|---|
| LBN Legal business name | Ingersoll, Jenna Renee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 8th, 2014 |
| Last updated | Oct 9th, 2023 - about last year |
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 | 1275944563 | NPPES |
| Wisconsin | MEDICAID | 100078113 |
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