MEDICARE: JENNIFER WINEBERG ZEITLER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194299248
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JENNIFER WINEBERG ZEITLER

Provider Business Mailing Address
First Line	:	522 E MAIN ST
Second Line	:
City	:	REYNOLDSVILLE
State	:	PA
Zip	:	15851-1328
Country	:	US
Telephone Number	:	814-653-8000
Fax Number	:	814-653-9632

Provider Business Practice Location Address
First Line	:	522 E MAIN ST
Second Line	:
City	:	REYNOLDSVILLE
State	:	PA
Zip	:	15851-1328
Country	:	US
Telephone Number	:	814-653-8000
Fax Number	:	814-653-9632

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. JENNIFER WINEBERG ZEITLER
Credential	:	MD
Telephone Number	:	814-653-8000

Provider Enumeration Date	:	01/11/2019
Last Update Date	:	05/07/2019

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