Jentz, Irene Ann

Jentz, Irene Ann is an individual health care provider with primary practice located at 20 Medical Village Dr Ste 102, Edgewood KY 41017-5401. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Jentz, Irene Ann can be contacted via phone (859) 341-1011.

Contact Information

Primary practice address
20 Medical Village Dr Ste 102 Edgewood KY 41017-5401
Phone: (859) 341-1011
Fax: (859) 341-7198
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 29192 Kentucky
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35064998 Ohio

Profile Details

NPI number 1831162114
LBN Legal business name Jentz, Irene Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
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 1831162114 NPPES
Kentucky MEDICAID 64291925
Kentucky Other 0637200
Kentucky Other 000000033747
Kentucky Other 1220592

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