Wendt, Jeanette K

Wendt, Jeanette K is an sole proprietor health care provider with primary practice located at 1631 W Ina Rd Ste 151 , Tucson AZ 85704-1907. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Wendt, Jeanette K can be contacted via phone (520) 742-1833.

Contact Information

Primary practice address
1631 W Ina Rd Ste 151 Tucson AZ 85704-1907
Fax: (520) 742-7548
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 17000 Arizona

Profile Details

NPI number 1104811397
LBN Legal business name Wendt, Jeanette K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 14th, 2005
Last updated Jul 21st, 2022 - about 2 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 1104811397 NPPES
Arizona MEDICAID 270041

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