Gladden, Jennifer Lee

Gladden, Jennifer Lee is an individual health care provider with primary practice located at 1065 Bucks Lake Rd , Quincy CA 95971-9507. She recently has 2 registered licenses in different health care specialties including Emergency Medical Service Providers / Personal Emergency Response Attendant, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Gladden, Jennifer Lee can be contacted via phone (530) 283-2121.

Contact Information

Primary practice address
1065 Bucks Lake Rd Quincy CA 95971-9507
Phone: (530) 283-2121
Fax: (530) 283-3151
Website:
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Health care specialties

SpecialtyCodeLicense #State
Emergency Medical Service Providers / Personal Emergency Response Attendant 146D00000X G60792 California
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X G60792 California

Profile Details

NPI number 1528077518
LBN Legal business name Gladden, Jennifer Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2006
Last updated Sep 24th, 2014 - about 11 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 1528077518 NPPES
California MEDICAID 00G607920
California MEDICAID CA644Z

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