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
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1194475897 | NPPES |
Ohio | MEDICAID | 0474656 |
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