Jansma, Jennifer

Jansma, Jennifer is an individual health care provider with primary practice located at 4100 Lake Otis Pkwy Ste 312 , Anchorage AK 99508-5231. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as her primary health care specialty. Jansma, Jennifer can be contacted via phone (907) 569-3668.

Contact Information

Primary practice address
4100 Lake Otis Pkwy Ste 312 Anchorage AK 99508-5231
Phone: (907) 569-3668
Fax: (907) 569-3669
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 5633 Alaska

Profile Details

NPI number 1255478863
LBN Legal business name Jansma, Jennifer
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2007
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 1255478863 NPPES
Alaska MEDICAID PD3497

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