Jenkins, Enchanta L

Jenkins, Enchanta L is an sole proprietor health care provider with primary practice located at 577 E Elder St Ste F , Fallbrook CA 92028-3079. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Military Health Care Provider, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Jenkins, Enchanta L can be contacted via phone (760) 645-3407.

Contact Information

Primary practice address
577 E Elder St Ste F Fallbrook CA 92028-3079
Phone: (760) 645-3407
Fax: (760) 990-4523
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Military Health Care Provider 171000000X 200301268 North Carolina
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 200301268 North Carolina
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 01053687A Indiana
Allopathic & Osteopathic Physicians / General Practice 208D00000X 200301268 North Carolina
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X C143625 California

Profile Details

NPI number 1285604702
LBN Legal business name Jenkins, Enchanta L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 26th, 2006
Last updated Sep 26th, 2022 - about 2 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 1285604702 NPPES
California MEDICAID 100000668

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