Ault, Jennifer

Ault, Jennifer is an individual health care provider with primary practice located at 2850 Telegraph Ave Ste 120 , Berkeley CA 94705-1159. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is her primary health care specialty. Ault, Jennifer can be contacted via phone (510) 204-8150.

Contact Information

Primary practice address
2850 Telegraph Ave Ste 120 Berkeley CA 94705-1159
Phone: (510) 204-8150
Fax: (510) 649-1238
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 20A12255 California
Allopathic & Osteopathic Physicians / Pain Medicine 2084P2900X 20A12255 California

Profile Details

NPI number 1205953247
LBN Legal business name Ault, Jennifer
Credentials M.S., D.P.T., D.O.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2007
Last updated May 14th, 2019 - 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 1205953247 NPPES
California Other 20A12255 STATE MEDICAL LICENSE

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