Wieland, Jennifer Kay

Wieland, Jennifer Kay is an individual health care provider with primary practice located at 615 23Rd Ave Ste 200 , Fairbanks AK 99701-7041. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Wieland, Jennifer Kay can be contacted via phone (907) 455-9737.

Contact Information

Primary practice address
615 23Rd Ave Ste 200 Fairbanks AK 99701-7041
Phone: (907) 455-9737
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1508048083
LBN Legal business name Wieland, Jennifer Kay
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 27th, 2007
Last updated Nov 27th, 2007 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1508048083 NPPES
Alaska MEDICAID CM4583

Popular Providers