Jenkins, Edith

Jenkins, Edith is an sole proprietor health care provider with primary practice located at 1515 Forest Ave , Calumet City IL 60409-6218. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Jenkins, Edith can be contacted via phone (708) 743-0365.

Contact Information

Primary practice address
1515 Forest Ave Calumet City IL 60409-6218
Phone: (708) 743-0365
Fax: (708) 432-6699
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71007161A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F01171312 Illinois

Profile Details

NPI number 1982142527
LBN Legal business name Jenkins, Edith
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 2nd, 2017
Last updated Dec 29th, 2019 - about 5 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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