Jenison, Gary L
Jenison, Gary L is an individual health care provider with primary practice located at 80 Star Dr , Chillicothe OH 45601-9583. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Jenison, Gary L can be contacted via phone (740) 779-2233.Contact Information
Primary practice address
80 Star Dr
Chillicothe OH 45601-9583
Phone: (740) 779-2233
Fax: (740) 779-2234
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 35069046 | Ohio |
Profile Details
| NPI number | 1073519344 |
|---|---|
| LBN Legal business name | Jenison, Gary L |
| Credentials | MD, PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2005 |
| Last updated | Nov 17th, 2011 - about 14 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 | 1073519344 | NPPES |
| Ohio | MEDICAID | 0231592 | |
| Ohio | Other | 040010891 |
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