Reiland, Jennifer Marie

Reiland, Jennifer Marie is an individual health care provider with primary practice located at 2510 W 9Th Ave , Oshkosh WI 54904-8125. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Reiland, Jennifer Marie can be contacted via phone (920) 426-2020.

Contact Information

Primary practice address
2510 W 9Th Ave Oshkosh WI 54904-8125
Phone: (920) 426-2020
Fax: (920) 235-3195
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2914 Wisconsin

Profile Details

NPI number 1356328645
LBN Legal business name Reiland, Jennifer Marie
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2005
Last updated Nov 21st, 2022 - about 2 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 1356328645 NPPES
Wisconsin MEDICAID 38619100

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