Duewall, Jennifer Lynne
Duewall, Jennifer Lynne is an individual health care provider with primary practice located at 4001 W 15Th St Suite 245, Plano TX 75093-5841. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Duewall, Jennifer Lynne can be contacted via phone (972) 596-5222.Contact Information
Primary practice address
4001 W 15Th St Suite 245
Plano TX 75093-5841
Phone: (972) 596-5222
Fax: (972) 596-5291
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | N8091 | Texas |
Profile Details
| NPI number | 1558534016 |
|---|---|
| LBN Legal business name | Duewall, Jennifer Lynne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 5th, 2008 |
| Last updated | Oct 23rd, 2019 - about 5 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 | 1558534016 | NPPES |
| Texas | MEDICAID | 301724602 |
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