Wegenhoft, Jennifer

Wegenhoft, Jennifer is an individual health care provider with primary practice located at 610 S Austin Rd , Eagle Lake TX 77434-3202. 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. Wegenhoft, Jennifer can be contacted via phone (979) 234-2551.

Contact Information

Primary practice address
610 S Austin Rd Eagle Lake TX 77434-3202
Fax: (979) 234-5994
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA10912 Texas

Profile Details

NPI number 1104374396
LBN Legal business name Wegenhoft, Jennifer
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2016
Last updated Nov 18th, 2016 - about 9 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 1104374396 NPPES
Other 1137272 NCCPA

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