Albon, Jennifer Rebecca

Albon, Jennifer Rebecca is an individual health care provider with primary practice located at 815 E 15Th St Pediatric Center Of Excellence, Douglas AZ 85607-1631. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Albon, Jennifer Rebecca can be contacted via phone (520) 364-5437.

Contact Information

Primary practice address
815 E 15Th St Pediatric Center Of Excellence Douglas AZ 85607-1631
Phone: (520) 364-5437
Fax: (520) 364-4261
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X RESIDENT Maryland
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A149072 California
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 48927 Arizona

Profile Details

NPI number 1497054639
LBN Legal business name Albon, Jennifer Rebecca
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2011
Last updated Oct 26th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497054639 NPPES
Arizona MEDICAID 906800

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