Lennard, Jake C

Lennard, Jake C is an individual health care provider with primary practice located at 6700 W 9Th Ave , Amarillo TX 79106-1729. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Lennard, Jake C can be contacted via phone (806) 358-0200.

Contact Information

Primary practice address
6700 W 9Th Ave Amarillo TX 79106-1729
Fax: (806) 356-5511
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X G2422 Texas

Profile Details

NPI number 1104869536
LBN Legal business name Lennard, Jake C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Mar 26th, 2015 - about 10 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 1104869536 NPPES
Texas MEDICAID 100664503

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