Jenkins, Christopher Lacy

Jenkins, Christopher Lacy is an sole proprietor health care provider with primary practice located at 576 Azalea Rd Suite 105, Mobile AL 36609-1516. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Jenkins, Christopher Lacy can be contacted via phone (251) 665-5360.

Contact Information

Primary practice address
576 Azalea Rd Suite 105 Mobile AL 36609-1516
Phone: (251) 665-5360
Fax: (251) 665-5361
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 00021736 Alabama

Profile Details

NPI number 1003806274
LBN Legal business name Jenkins, Christopher Lacy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 27th, 2005
Last updated Mar 7th, 2023 - about last year

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 1003806274 NPPES
Alabama Other 4479981 CIGNA
Alabama Other 51550204 CIGNA
Alabama MEDICAID 051550204 CIGNA
Alabama Other AETNA CIGNA

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