Hundley, Jeanea R
Hundley, Jeanea R is an individual health care provider with primary practice located at 612 Mocksville Ave , Salisbury NC 28144-2732. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Hundley, Jeanea R can be contacted via phone (704) 210-5190.Contact Information
Primary practice address
612 Mocksville Ave
Salisbury NC 28144-2732
Phone: (704) 210-5190
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 200001190297 | North Carolina |
Profile Details
| NPI number | 1295704351 |
|---|---|
| LBN Legal business name | Hundley, Jeanea R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2006 |
| Last updated | Oct 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295704351 | NPPES |
| North Carolina | MEDICAID | 891187K |
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