Wadle, Jennifer L

Wadle, Jennifer L is an individual health care provider with primary practice located at 405 Monroe St , Pella IA 50219-1189. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Wadle, Jennifer L can be contacted via phone (641) 628-3832.

Contact Information

Primary practice address
405 Monroe St Pella IA 50219-1189
Phone: (641) 628-3832
Fax: (641) 628-8894
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 01311 Iowa

Profile Details

NPI number 1558339267
LBN Legal business name Wadle, Jennifer L
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Oct 15th, 2007 - about 18 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 1558339267 NPPES
Iowa Other 970015906 RAILROAD MEDICARE

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