Au, Jennifer S
Au, Jennifer S is an individual health care provider with primary practice located at 5501 Old York Rd Suite 202, Philadelphia PA 19141-3018. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is her primary health care specialty. Au, Jennifer S can be contacted via phone (215) 456-8210.Contact Information
Primary practice address
5501 Old York Rd Suite 202
Philadelphia PA 19141-3018
Phone: (215) 456-8210
Fax: (215) 329-1085
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | Pennsylvania | |
Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | MD443334 | Pennsylvania |
Profile Details
NPI number | 1851552145 |
---|---|
LBN Legal business name | Au, Jennifer S |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 19th, 2008 |
Last updated | Jan 9th, 2017 - about 8 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1851552145 | NPPES |
Pennsylvania | MEDICAID | 103127884 |
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