Amy B Jentz in Ionia - Surgery

Amy B Jentz - NPI 1831204601

Amy B Jentz is a Surgery in Ionia, Michigan. Amy B Jentz practices all healthcare services and medical treatments related to Surgery. The NPI Number for Amy B Jentz is 1831204601. The last update date is 2010-04-09.

Amy B Jentz's current location address is 550 E Washington St, Ionia, Michigan. You can contact this provider via phone number 6165231630 and fax number 6165231631. The mailing address for Amy B Jentz is 550 E Washington St, Ionia, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Amy B Jentz
Address 550 E Washington St, Ionia, Michigan
Phone Number 6165231630
Fax Number 6165231631
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1831204601
Provider Enumeration Date 2006-08-20
Last Updated Date 2010-04-09

Provider Mailing Address Detail

Address 550 E Washington St
City Ionia
State Michigan (MI)
Post Code 488462202
Phone Number 6165231630
Fax Number 6165231631

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Licence No AJ076427
Definition:
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue;

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1016881 MI MCLAREN
383218134 MI TRICARE
4791262 MI MOLINA
3004 MI PRIORITY HEALTH PAY TO #
700C460060 MI BCBS OF MI GROUP
104791262 MI --
200000002169 MI PHPMM

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FAQs about Amy B Jentz

What is the unique identifier code issued to Amy B Jentz by the Centers for Medicare & Medicaid Services?

The Amy B Jentz has been assigned the NPI (National Provider Identifier) 1831204601. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Amy B Jentz's physical address?

The Amy B Jentz is physically located at 550 E Washington St, in the city of Ionia, MI, with the postal code 488462202.

What is Amy B Jentz's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Amy B Jentz is Surgery, and the taxonomy classification code that categorizes this area of expertise is 208600000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1831204601 to Amy B Jentz?

The Centers for Medicare & Medicaid Services originally issued the 1831204601 to Amy B Jentz on 2006-08-20.

When was the information pertaining to Amy B Jentz most recently updated or revised?

The details related to Amy B Jentz, including its address, specialty, and other relevant information, were last updated or revised on 2010-04-09.

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