Clark, Jennifer Jocelyn

Clark, Jennifer Jocelyn is an individual health care provider with primary practice located at 2055 N High St #340, Denver CO 80205-5503. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, which is considered as her primary health care specialty. Clark, Jennifer Jocelyn can be contacted via phone (303) 832-2344.

Contact Information

Primary practice address
2055 N High St #340 Denver CO 80205-5503
Phone: (303) 832-2344
Fax: (303) 832-3721
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X 157630 Massachusetts
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X 45919 Colorado

Profile Details

NPI number 1336106053
LBN Legal business name Clark, Jennifer Jocelyn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Feb 4th, 2022 - about 2 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 1336106053 NPPES
Nebraska MEDICAID 10025570100
Nebraska MEDICAID 1336106053
Nebraska MEDICAID 75034531
Nebraska MEDICAID 5326087
Nebraska MEDICAID 1336106053
Nebraska MEDICAID 657254089
Nebraska MEDICAID 125003100

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