Jefferson, Christopher L

Jefferson, Christopher L is an individual health care provider with primary practice located at 997 Us Highway 41 Byp N Suite 201, Venice FL 34285-6046. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Jefferson, Christopher L can be contacted via phone (941) 952-4220.

Contact Information

Primary practice address
997 Us Highway 41 Byp N Suite 201 Venice FL 34285-6046
Phone: (941) 952-4220
Fax: (941) 952-4222
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME80315 Florida

Profile Details

NPI number 1861467946
LBN Legal business name Jefferson, Christopher L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Feb 19th, 2018 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1861467946 NPPES
Florida MEDICAID 259226600
Florida Other 35626

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