Wentzloff, Jeffrey N

Wentzloff, Jeffrey N is an individual health care provider with primary practice located at 929 Business Park Dr , Traverse City MI 49686. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Glaucoma Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Wentzloff, Jeffrey N can be contacted via phone (231) 947-6246.

Contact Information

Primary practice address
929 Business Park Dr Traverse City MI 49686
Fax: (231) 947-8864
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Glaucoma Specialist 207WX0009X 4901004141 Michigan
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 4301077685 Michigan

Profile Details

NPI number 1508840273
LBN Legal business name Wentzloff, Jeffrey N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2005
Last updated Jun 11th, 2018 - about 6 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 1508840273 NPPES
Michigan MEDICAID 4845630
Michigan MEDICAID 4845640

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