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Individual
JEFFREY JACOB SCHENK
Active
Individual
JEFFREY JACOB SCHENK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0053687
CO
207R00000X
Internal Medicine Physician
DO1992
NV
208M00000X
Hospitalist Physician
Primary
13018467-1204
UT
208M00000X
Hospitalist Physician
DR.0053687
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07307039
—
CO
01
—
P01381223
RAILROAD MEDICARE
CO
Enumeration date
03/11/2011
Last updated
03/22/2023
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