Boll, Jennifer E

Boll, Jennifer E is an sole proprietor health care provider with primary practice located at 2034 W Southern Ave Suite Y, Tempe AZ 85282. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Plastic Surgery. Allopathic & Osteopathic Physicians / Plastic Surgery is her primary health care specialty. Boll, Jennifer E can be contacted via phone (480) 833-5200.

Contact Information

Primary practice address
2034 W Southern Ave Suite Y Tempe AZ 85282
Phone: (480) 833-5200
Fax: (480) 833-2967
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 47854 Minnesota
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 36586 Arizona

Profile Details

NPI number 1780664243
LBN Legal business name Boll, Jennifer E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 20th, 2006
Last updated Mar 23rd, 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 1780664243 NPPES
Minnesota MEDICAID 020910400

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