Rothenberger, Jennifer S.

Rothenberger, Jennifer S. is an individual health care provider with primary practice located at 8333 Naab Rd Ste 250 , Indianapolis IN 46260. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Rothenberger, Jennifer S. can be contacted via phone (317) 396-1300.

Contact Information

Primary practice address
8333 Naab Rd Ste 250 Indianapolis IN 46260
Phone: (317) 396-1300
Fax: (317) 396-1346
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9101661 Florida
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA60995158 Washington
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 10002582A Indiana

Profile Details

NPI number 1447212162
LBN Legal business name Rothenberger, Jennifer S.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Oct 15th, 2019 - about 5 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 1447212162 NPPES
Florida MEDICAID 291359300
Florida MEDICAID 2913593-00

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