Provider Demographics
NPI:1346363611
Name:SATER, JENNIFER L
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:L
Last Name:SATER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:384 OLEANDER ST
Mailing Address - Street 2:
Mailing Address - City:CASPER
Mailing Address - State:WY
Mailing Address - Zip Code:82604-3905
Mailing Address - Country:US
Mailing Address - Phone:307-267-8878
Mailing Address - Fax:307-333-1831
Practice Address - Street 1:384 OLEANDER ST
Practice Address - Street 2:
Practice Address - City:CASPER
Practice Address - State:WY
Practice Address - Zip Code:82604-3905
Practice Address - Country:US
Practice Address - Phone:307-267-8878
Practice Address - Fax:307-333-1831
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-09
Last Update Date:2010-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator