Andresen, Jennie

Andresen, Jennie is an individual health care provider with primary practice located at 1616 6Th Ave S , Birmingham AL 35233-1788. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Andresen, Jennie can be contacted via phone (205) 939-9585.

Contact Information

Primary practice address
1616 6Th Ave S Birmingham AL 35233-1788
Phone: (205) 939-9585
Fax: (205) 975-6503
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 17919 Alabama

Profile Details

NPI number 1558388447
LBN Legal business name Andresen, Jennie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2006
Last updated Jan 14th, 2011 - about 13 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 1558388447 NPPES
Other F84977 VIVA
MEDICAID 009983035 VIVA
MEDICAID 009983625 VIVA
Other 515-26413 VIVA

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