Caudle, Jennifer Nicole

Caudle, Jennifer Nicole is an individual health care provider with primary practice located at 405 Hurffville Crosskeys Rd Ste 101 , Sewell NJ 08080-9340. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Caudle, Jennifer Nicole can be contacted via phone (856) 218-0300.

Contact Information

Primary practice address
405 Hurffville Crosskeys Rd Ste 101 Sewell NJ 08080-9340
Phone: (856) 218-0300
Fax: (856) 589-5082
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25MB08308500 New Jersey

Profile Details

NPI number 1184821597
LBN Legal business name Caudle, Jennifer Nicole
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2007
Last updated Jun 25th, 2024 - about last year

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 1184821597 NPPES
New Jersey MEDICAID 0272175

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