Wilson, Jenna Leigh

Wilson, Jenna Leigh is an sole proprietor health care provider with primary practice located at 7688 Rowles Dr , Columbus OH 43235-4593. She recently has only one registered license in Managed Care Organizations / Exclusive Provider Organization, which is considered as her primary health care specialty. Wilson, Jenna Leigh can be contacted via phone (770) 316-9081.

Contact Information

Primary practice address
7688 Rowles Dr Columbus OH 43235-4593
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Exclusive Provider Organization 302F00000X

Profile Details

NPI number 1194475897
LBN Legal business name Wilson, Jenna Leigh
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 25th, 2022
Last updated Mar 25th, 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 1194475897 NPPES
Ohio MEDICAID 0474656

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