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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 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 1184748212 NPPES
Nevada MEDICAID 1184748212
Nevada Other V51698

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