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:
Health care specialties
Specialty | Code | License # | 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 3 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 | 1285604702 | NPPES |
California | MEDICAID | 100000668 |
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