Wise, Jennifer Renee
Wise, Jennifer Renee is an individual health care provider with primary practice located at 2821 Daggett Ave Ste 200 , Klamath Falls OR 97601-1106. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Wise, Jennifer Renee can be contacted via phone (541) 274-8400.Contact Information
Primary practice address
2821 Daggett Ave Ste 200
Klamath Falls OR 97601-1106
Phone: (541) 274-8400
Fax: (541) 274-8405
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 12016 | New Hampshire |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD192270 | Oregon |
Profile Details
| NPI number | 1255326252 |
|---|---|
| LBN Legal business name | Wise, Jennifer Renee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 15th, 2005 |
| Last updated | Feb 11th, 2020 - about 5 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 | 1255326252 | NPPES |
| New Hampshire | Other | P00179641 | RR MEDICARE PIN |
| New Hampshire | Other | 3369774 | RR MEDICARE PIN |
| New Hampshire | MEDICAID | 30203784 | RR MEDICARE PIN |
| New Hampshire | Other | 6000361 | RR MEDICARE PIN |
| New Hampshire | Other | 101115805 | RR MEDICARE PIN |
| New Hampshire | Other | 30367Y | RR MEDICARE PIN |
| New Hampshire | Other | 5796012 | RR MEDICARE PIN |
| New Hampshire | Other | 012016 | RR MEDICARE PIN |
| New Hampshire | Other | 01YP05180NH01 | RR MEDICARE PIN |
Popular Providers
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Marx, Frank Geoffrey
2865 Daggett Ave , Klamath Falls OR 97601-1106 -
Venes, Donald J
2821 Daggett Ave Ste 200 , Klamath Falls OR 97601-1130 -
Kucinska, Slavka
2865 Daggett Ave , Klamath Falls OR 97601 -
Choufani, Bassel Michel
3001 Daggett Ave Ste 101 , Klamath Falls OR 97601-1114 -
Christensen, Charles L
2074 S 6Th St , Klamath Falls OR 97601-3372 -
Magee, Kenneth Kellogg
4745 S 6Th St , Klamath Falls OR 97603-4958 -
Mccord, William Clay
2631 Crosby Ave , Klamath Falls OR 97603-0000 -
Piepenbrink, Roger A.
2821 Daggett Ave Ste 200 , Klamath Falls OR 97601-1130