Jentoft, Eric Alf

Jentoft, Eric Alf is an individual health care provider with primary practice located at 1414 W Fair Ave Suite 390, Marquette MI 49855-2675. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / Obstetrics. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Jentoft, Eric Alf can be contacted via phone (906) 225-3881.

Contact Information

Primary practice address
1414 W Fair Ave Suite 390 Marquette MI 49855-2675
Phone: (906) 225-3881
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 4301081464 Michigan
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 4301081464 Michigan
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X 4301081464 Michigan

Profile Details

NPI number 1508077405
LBN Legal business name Jentoft, Eric Alf
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2007
Last updated Feb 20th, 2008 - about 16 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 1508077405 NPPES
Michigan MEDICAID 5183941
Michigan Other 05201102
Michigan Other 766711051208

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