Wetzel, Jennifer L

Wetzel, Jennifer L is an individual health care provider with primary practice located at 7905 Westbranch Highway Suite 1100, Lewisburg PA 17837-6808. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Wetzel, Jennifer L can be contacted via phone (570) 524-5050.

Contact Information

Primary practice address
7905 Westbranch Highway Suite 1100 Lewisburg PA 17837-6808
Phone: (570) 524-5050
Fax: (570) 524-5250
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X MA054769 Pennsylvania

Profile Details

NPI number 1679877187
LBN Legal business name Wetzel, Jennifer L
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2010
Last updated Nov 29th, 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 1679877187 NPPES
Pennsylvania MEDICAID 1031712290002

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