Boals, Jennifer R

Boals, Jennifer R is an individual health care provider with primary practice located at 7695 Poplar Pike Suite 101, Germantown TN 38138-5947. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Boals, Jennifer R can be contacted via phone (901) 685-2696.

Contact Information

Primary practice address
7695 Poplar Pike Suite 101 Germantown TN 38138-5947
Phone: (901) 685-2696
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 30500 Tennessee

Profile Details

NPI number 1114920394
LBN Legal business name Boals, Jennifer R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Sep 8th, 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 1114920394 NPPES
Tennessee MEDICAID 3865327

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