Sult, Jennifer Marie

Sult, Jennifer Marie is an individual health care provider with primary practice located at 1400 E 9Th St , Rochester IN 46975-8931. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Sult, Jennifer Marie can be contacted via phone (574) 223-2020.

Contact Information

Primary practice address
1400 E 9Th St Rochester IN 46975-8931
Fax: (574) 223-5847
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 01062520A Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01062520A Indiana

Profile Details

NPI number 1043436009
LBN Legal business name Sult, Jennifer Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2007
Last updated Oct 2nd, 2014 - about 12 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 1043436009 NPPES
Indiana MEDICAID 200863600

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