Exo, Jennifer

Exo, Jennifer is an individual health care provider with primary practice located at 11505 36Th Ave N , Plymouth MN 55441-2304. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Exo, Jennifer can be contacted via phone (763) 509-3800.

Contact Information

Primary practice address
11505 36Th Ave N Plymouth MN 55441-2304
Phone: (763) 509-3800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2015011521 Missouri
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 2015011521 Missouri
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 49064 Colorado
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 65273 Minnesota

Profile Details

NPI number 1376770560
LBN Legal business name Exo, Jennifer
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2009
Last updated Aug 20th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376770560 NPPES
Colorado MEDICAID 96134780

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