Graber, Jennifer Ann

Graber, Jennifer Ann is an individual health care provider with primary practice located at 751 S Bascom Ave Childrens Shelter, San Jose CA 95128-2604. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Graber, Jennifer Ann can be contacted via phone (408) 558-5470.

Contact Information

Primary practice address
751 S Bascom Ave Childrens Shelter San Jose CA 95128-2604
Phone: (408) 558-5470
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X G76892 California
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X G76892 California

Profile Details

NPI number 1982718946
LBN Legal business name Graber, Jennifer Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2006
Last updated Jul 8th, 2007 - about 18 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 1982718946 NPPES
California MEDICAID 00G768920

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