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
Phone: (574) 223-2020
Fax: (574) 223-5847
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043436009 | NPPES |
| Indiana | MEDICAID | 200863600 |
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