Jung, Dennis John

Jung, Dennis John is an individual health care provider with primary practice located at 2025 Galisteo St , Santa Fe NM 87505-2101. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Jung, Dennis John can be contacted via phone (505) 995-4901.

Contact Information

Primary practice address
2025 Galisteo St Santa Fe NM 87505-2101
Phone: (505) 995-4901
Fax: (505) 989-6426
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN27843 New Mexico

Profile Details

NPI number 1417925058
LBN Legal business name Jung, Dennis John
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Nov 8th, 2011 - about 13 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 1417925058 NPPES
Other 2340212 UHC
MEDICAID 98478 UHC
Other QMYPR0069326 UHC
Other 10009148 UHC
Other 201004971 UHC
Other NM006954 UHC

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