Baynosa, Jennifer Lynn
Baynosa, Jennifer Lynn is an individual health care provider with primary practice located at 1707 W Charleston Blvd #160, Las Vegas NV 89102-2351. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Oncology. Allopathic & Osteopathic Physicians / Surgical Oncology is her primary health care specialty. Baynosa, Jennifer Lynn can be contacted via phone (702) 671-5150.Contact Information
Primary practice address
1707 W Charleston Blvd #160
Las Vegas NV 89102-2351
Phone: (702) 671-5150
Fax: (702) 384-6493
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 12653 | Nevada |
Allopathic & Osteopathic Physicians / Surgical Oncology | 2086X0206X | 12653 | Nevada |
Profile Details
NPI number | 1184748212 |
---|---|
LBN Legal business name | Baynosa, Jennifer Lynn |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 16th, 2007 |
Last updated | Feb 27th, 2018 - about 7 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 | 1184748212 | NPPES |
Nevada | MEDICAID | 1184748212 | |
Nevada | Other | V51698 |
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