Jordt Roberts, Jennifer Lynn

Jordt Roberts, Jennifer Lynn is an sole proprietor health care provider with primary practice located at 1777 108Th St , Marengo IA 52301-8726. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist, which is considered as her primary health care specialty. Jordt Roberts, Jennifer Lynn can be contacted via phone (319) 361-1468.

Contact Information

Primary practice address
1777 108Th St Marengo IA 52301-8726
Phone: (319) 361-1468
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist 247100000X

Profile Details

NPI number 1235313818
LBN Legal business name Jordt Roberts, Jennifer Lynn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 19th, 2007
Last updated Dec 19th, 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 1235313818 NPPES
Other 370199 ARRT

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