Jennifer Marie Sult
Family Doctor General Practice Physician
1400 E 9th St
Rochester
, Indiana 46975-8931
Jennifer Marie Sult
Family Doctor General Practice Physician
1400 E 9th St
Rochester
, Indiana 46975-8931
(574) 223-5847
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About
Features
Specialties
- Family Doctor
- General Practice Physician
Languages spoken
- English
Location
First Address
- Jennifer Marie Sult
- 1400 E 9th St
- Rochester, IN
- Zip : 46975-8931
- Fax : (574) 223-5847
- Phone : (574) 223-2020
Second Address
- Jennifer Marie Sult
- 1400 E 9th St
- Rochester, IN
- Zip : 46975-8931
- Fax : (574) 223-5847
- Phone : (574) 223-2020
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 01062520A | IN |
| N | 208D00000X | General Practice Physician | 01062520A | IN |
National Provider Identifier
| NPI | 1043436009 |
|---|---|
| Provider Name | Jennifer Marie Sult |
| First Address | Rochester, IN 46975-8931 |
| Second Address | Rochester, IN 46975-8931 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/04/2007 |
| Last Update Date | 02/10/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 200863600 | (05) | IN |
| OTH000 | (02) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.