Southwick, Jenefer June

Southwick, Jenefer June is an individual health care provider with primary practice located at 1000 Lakeshore Dr , Moose Lake MN 55767-9449. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Southwick, Jenefer June can be contacted via phone (218) 485-5050.

Contact Information

Primary practice address
1000 Lakeshore Dr Moose Lake MN 55767-9449
Phone: (218) 485-5050
Fax: (218) 485-5008
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 7977 Minnesota

Profile Details

NPI number 1912122797
LBN Legal business name Southwick, Jenefer June
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2007
Last updated Jul 8th, 2007 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1912122797 NPPES
Minnesota Other 7977 STATE LISCENSE

Popular Providers