Dannenbaum, Jeannine

Dannenbaum, Jeannine is an individual health care provider with primary practice located at 1100 Paseo Camarillo , Camarillo CA 93010. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Dannenbaum, Jeannine can be contacted via phone (805) 484-8558.

Contact Information

Primary practice address
1100 Paseo Camarillo Camarillo CA 93010
Phone: (805) 484-8558
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 364SA2200X 95003911 California
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 95003911 California

Profile Details

NPI number 1417253550
LBN Legal business name Dannenbaum, Jeannine
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2011
Last updated Jun 22nd, 2018 - about 7 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 1417253550 NPPES
New Jersey Other 26NO10153900 LICENSE

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