Jagers, Bethany Ann
Jagers, Bethany Ann is an individual health care provider with primary practice located at 30381 Chieftain Dr , Logan OH 43138-9092. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Jagers, Bethany Ann can be contacted via phone (740) 385-2555.Contact Information
Primary practice address
30381 Chieftain Dr
Logan OH 43138-9092
Phone: (740) 385-2555
Fax: (740) 380-3730
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | NP 05307 | Ohio |
Profile Details
| NPI number | 1184626889 |
|---|---|
| LBN Legal business name | Jagers, Bethany Ann |
| Credentials | Certified Nurse Practitioner (CNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2005 |
| Last updated | Nov 5th, 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 | 1184626889 | NPPES |
| Ohio | MEDICAID | 2196501 |
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