Jenkins, Patrick M

Jenkins, Patrick M is an individual health care provider with primary practice located at 100 Hillcrest Medical Blvd , Waco TX 76712-8897. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Jenkins, Patrick M can be contacted via phone (254) 202-2000.

Contact Information

Primary practice address
100 Hillcrest Medical Blvd Waco TX 76712-8897
Phone: (254) 202-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 504989 Texas

Profile Details

NPI number 1497722813
LBN Legal business name Jenkins, Patrick M
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2006
Last updated May 5th, 2021 - about 3 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 1497722813 NPPES
Oklahoma MEDICAID 100784570A
Oklahoma Other 046912
Oklahoma Other 86117U

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