Charles Anthony Jennissen
MD | Pediatric Emergency Medicine | Male
Charles Anthony Jennissen, MD is a Iowa City, Iowa based Pediatric doctor with medical specialization in
Pediatric Emergency Medicine.
Current practice location of Charles Anthony Jennissen is
200 Hawkins Dr, Iowa City, Iowa - 52242-1009. He can be contacted on phone at
319-356-6360 and fax number 319-384-9184.
Charles Anthony Jennissen is a sole proprietor of his business.
NPI number (Unique professional ID) for Charles Anthony Jennissen is
1033194188 which was assigned by NPPES on 13 Dec, 2005 and it was last updated on 11 Dec, 2007.
Charles Anthony Jennissen license number is
26724 for Pediatrics Pediatric Emergency Medicine (2080P0204X) in Iowa.
Charles Anthony Jennissen has special qualifications to manage emergencies in infants and children.
Complete Profile:
Charles Anthony Jennissen basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Emergency Medicine |
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| Provider Name : | Charles Anthony Jennissen |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Charles Anthony Jennissen address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 200 Hawkins Dr
Iowa City, IA, 52242-1009
United States |
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| Phone Number : | 319-356-6360 |
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| Fax Number : | 319-384-9184 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1033194188 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 13 Dec, 2005 |
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| Last Updated On : | 11 Dec, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Charles Anthony Jennissen are as mentioned. Primary taxonomy code for Charles Anthony Jennissen, MD is
2080P0204X (Pediatrics Pediatric Emergency Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0204X | Pediatrics Pediatric Emergency Medicine | Yes | 26724 | IA |
Legacy Identifiers:
Other legacy medical identifiers of Charles Anthony Jennissen such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 34154 | Other | IA | WELLMARK BCBS |
| 1101659 | MEDICAID | IA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 200 Hawkins Dr
Iowa City, IA, 52242-1009
United States |
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| Phone Number : | 319-356-6360 |
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| Fax Number : | 319-384-9184 |
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Business Location:
Patients can refer following map for directions to
Charles Anthony Jennissen practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.