Jaeger, Duane C

Jaeger, Duane C is an individual health care provider with primary practice located at 5500 E Kellogg Dr , Wichita KS 67218-1607. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult, which is considered as his primary health care specialty. Jaeger, Duane C can be contacted via phone (316) 651-3621.

Contact Information

Primary practice address
5500 E Kellogg Dr Wichita KS 67218-1607
Phone: (316) 651-3621
Fax: (316) 681-5570
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult 364SP0809X 74618 Kansas

Profile Details

NPI number 1659324663
LBN Legal business name Jaeger, Duane C
Credentials ARNP, BC
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Jul 8th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1659324663 NPPES
Kansas Other 74618 PSYCHIATRIC CERTIFICATION
Kansas Other 14-052505-012 PSYCHIATRIC CERTIFICATION

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