Listerman, Jennifer

Listerman, Jennifer is an individual health care provider with primary practice located at 613 23Rd St Suite 230, Ashland KY 41101-2878. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Listerman, Jennifer can be contacted via phone (606) 324-4745.

Contact Information

Primary practice address
613 23Rd St Suite 230 Ashland KY 41101-2878
Phone: (606) 324-4745
Fax: (606) 324-4941
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 35.096232 Ohio
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X TP449 Kentucky
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 43886 Kentucky

Profile Details

NPI number 1568519361
LBN Legal business name Listerman, Jennifer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2007
Last updated Dec 21st, 2023 - 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 1568519361 NPPES
Kentucky MEDICAID 7100140590
Kentucky MEDICAID 3810019206
Kentucky MEDICAID 3112081

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