Daniels, Jennifer Marie

Daniels, Jennifer Marie is an individual health care provider with primary practice located at 30 Warder St Suite 220, Springfield OH 45504-2500. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Daniels, Jennifer Marie can be contacted via phone (937) 399-7021.

Contact Information

Primary practice address
30 Warder St Suite 220 Springfield OH 45504-2500
Phone: (937) 399-7021
Fax: (937) 399-0697
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X OH35-084309 Ohio

Profile Details

NPI number 1457369696
LBN Legal business name Daniels, Jennifer Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2006
Last updated Apr 6th, 2021 - about 3 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 1457369696 NPPES
Ohio MEDICAID 2484002

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