Conlon, Jennifer Marie
Conlon, Jennifer Marie is an individual health care provider with primary practice located at 5450 Far Hills Ave Ste 110 , Kettering OH 45429-2346. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Conlon, Jennifer Marie can be contacted via phone (937) 436-2866.Contact Information
Primary practice address
5450 Far Hills Ave Ste 110
Kettering OH 45429-2346
Phone: (937) 436-2866
Fax: (937) 436-1468
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 35.065320 | Ohio |
Profile Details
NPI number | 1023194248 |
---|---|
LBN Legal business name | Conlon, Jennifer Marie |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 31st, 2006 |
Last updated | Dec 12th, 2023 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1023194248 | NPPES |
Ohio | MEDICAID | 0114414 | |
Ohio | Other | 0114414 | |
Ohio | Other | 4644133 | |
Ohio | Other | 000000339085 | |
Ohio | Other | 1333851 | |
Ohio | Other | 311627276034 |
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