Provider Demographics
NPI:1760528848
Name:TSCHIMPERLE, JENNIFER (HIS)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:TSCHIMPERLE
Suffix:
Gender:F
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28909 DEWY LN
Mailing Address - Street 2:
Mailing Address - City:NEW PRAGUE
Mailing Address - State:MN
Mailing Address - Zip Code:56071-4463
Mailing Address - Country:US
Mailing Address - Phone:952-758-6513
Mailing Address - Fax:
Practice Address - Street 1:100 FULLER ST S
Practice Address - Street 2:SUITE 135
Practice Address - City:SHAKOPEE
Practice Address - State:MN
Practice Address - Zip Code:55379-1348
Practice Address - Country:US
Practice Address - Phone:952-402-0944
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2400237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist