Underkofler, Janet

Underkofler, Janet is an individual health care provider with primary practice located at 1594 Kingsley Ave , Orange Park FL 32073-4546. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Underkofler, Janet can be contacted via phone (904) 264-8621.

Contact Information

Primary practice address
1594 Kingsley Ave Orange Park FL 32073-4546
Phone: (904) 264-8621
Fax: (904) 215-9418
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA0001744 Florida

Profile Details

NPI number 1083613046
LBN Legal business name Underkofler, Janet
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated Jun 20th, 2024 - about 5 months 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 1083613046 NPPES
Florida MEDICAID 002072500
Florida Other PA0001744

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