Wirsig, Jennifer Ellen
Wirsig, Jennifer Ellen is an individual health care provider with primary practice located at 2478 13Th St Se , Salem OR 97302-2522. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Wirsig, Jennifer Ellen can be contacted via phone (503) 362-2481.Contact Information
Primary practice address
2478 13Th St Se
Salem OR 97302-2522
Phone: (503) 362-2481
Fax: (503) 371-7803
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD24635 | Oregon |
Profile Details
| NPI number | 1417942012 |
|---|---|
| LBN Legal business name | Wirsig, Jennifer Ellen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2005 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417942012 | NPPES |
| Oregon | MEDICAID | 227271 |
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