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Contact Information

JESSICA L GENGLER, DO
851 E 5TH ST
WASHINGTON, MO63090
 Phone: 636-239-8585
 Fax: 636-239-8553
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for JESSICA L GENGLER · (Female)

NPI # 1629380522
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 07/08/2010
Last updated 01/14/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # OS13423
  • MI License # 5101018918
  • MO License # 2019001308
  • FL Medicaid 015173300
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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