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Contact Information

JEFFREY WENTZ, MD
559 VINCENT ST
SPACE BASE DELTA 1
PETERSON SPACE FORCE BASE, CO80914
 Phone: 719-556-7804
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for JEFFREY WENTZ · (Male)

NPI Number 1487045803
Status Active
Credentials MD
Entity Individual
Enumeration date 02/06/2015
Last updated 04/24/2026 - About 1 months ago
Sole proprietor 1 No
Identifiers
  • CO License # DR.0065509
  • NE License # 29778
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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