Caserta, Jennifer

Caserta, Jennifer is an individual health care provider with primary practice located at 1911 Cooks Hill Rd , Centralia WA 98531-9073. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Caserta, Jennifer can be contacted via phone (360) 736-6778.

Contact Information

Primary practice address
1911 Cooks Hill Rd Centralia WA 98531-9073
Phone: (360) 736-6778
Fax: (360) 736-6552
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD00043677 Washington

Profile Details

NPI number 1962521435
LBN Legal business name Caserta, Jennifer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2007
Last updated Jul 9th, 2007 - about 19 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 1962521435 NPPES
Washington Other 2914CA REGENCE
Washington Other 9116CA REGENCE
Washington Other 230532008 REGENCE
Washington MEDICAID 7122617 REGENCE
Washington MEDICAID 7057375 REGENCE
Washington MEDICAID 7131709 REGENCE
Washington MEDICAID 7131717 REGENCE
Washington MEDICAID 8398356 REGENCE

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