Uphoff, Jennifer

Uphoff, Jennifer is an individual health care provider with primary practice located at 1505 Eastland Dr , Bloomington IL 61701-3534. 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. Uphoff, Jennifer can be contacted via phone (309) 663-2100.

Contact Information

Primary practice address
1505 Eastland Dr Bloomington IL 61701-3534
Phone: (309) 663-2100
Fax: (309) 663-8322
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085-004447 Illinois

Profile Details

NPI number 1487993390
LBN Legal business name Uphoff, Jennifer
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2013
Last updated Nov 11th, 2014 - about 11 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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