Ellen, Jennie

Ellen, Jennie is an individual health care provider with primary practice located at 4600 S Park Ave , Tucson AZ 85714-1697. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Ellen, Jennie can be contacted via phone (520) 889-9574.

Contact Information

Primary practice address
4600 S Park Ave Tucson AZ 85714-1697
Phone: (520) 889-9574
Fax: (520) 889-5072
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 28560 Arizona

Profile Details

NPI number 1063537744
LBN Legal business name Ellen, Jennie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2007
Last updated Oct 4th, 2019 - about 6 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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