Lentz, Jennifer Dale

Lentz, Jennifer Dale is an individual health care provider with primary practice located at 24276 Airport Rd , Eagle Butte SD 57625-8021. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Lentz, Jennifer Dale can be contacted via phone (605) 964-7724.

Contact Information

Primary practice address
24276 Airport Rd Eagle Butte SD 57625-8021
Phone: (605) 964-7724
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0010-00584 North Carolina

Profile Details

NPI number 1649355116
LBN Legal business name Lentz, Jennifer Dale
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2006
Last updated Jun 20th, 2024 - about last year

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 1649355116 NPPES
North Carolina MEDICAID 897813A

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