Metzgar, Jennifer

Metzgar, Jennifer is an sole proprietor health care provider with primary practice located at 953 Danby Rd , Ithaca NY 14850-7000. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Metzgar, Jennifer can be contacted via phone (607) 274-3177.

Contact Information

Primary practice address
953 Danby Rd Ithaca NY 14850-7000
Phone: (607) 274-3177
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 332604 New York

Profile Details

NPI number 1992783153
LBN Legal business name Metzgar, Jennifer
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 6th, 2006
Last updated Nov 26th, 2012 - about 12 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 1992783153 NPPES
New York MEDICAID 02654442

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