Schaeffer, Jennifer J. Wilson

Schaeffer, Jennifer J. Wilson is an individual health care provider with primary practice located at 2416 Regency Rd , Lexington KY 40503-2954. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Schaeffer, Jennifer J. Wilson can be contacted via phone (859) 278-1316.

Contact Information

Primary practice address
2416 Regency Rd Lexington KY 40503-2954
Phone: (859) 278-1316
Fax: (859) 278-9896
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X KY-1195 Kentucky

Profile Details

NPI number 1912955535
LBN Legal business name Schaeffer, Jennifer J. Wilson
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated May 9th, 2008 - about 17 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 1912955535 NPPES
Other 1191578 CHA
Other 000000195349 CHA
MEDICAID 8900032700 CHA
Other 611142277Q CHA
Other 680015706 CHA

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