Roberts, Jennifer

Roberts, Jennifer is an individual health care provider with primary practice located at 3533 Southern Blvd Ste 5650 , Kettering OH 45429-1263. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Roberts, Jennifer can be contacted via phone (937) 294-3611.

Contact Information

Primary practice address
3533 Southern Blvd Ste 5650 Kettering OH 45429-1263
Phone: (937) 294-3611
Fax: (937) 294-9010
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 50.002811 Ohio

Profile Details

NPI number 1497902944
LBN Legal business name Roberts, Jennifer
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2008
Last updated Dec 17th, 2020 - about 6 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 1497902944 NPPES
Ohio MEDICAID 0743039

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