Jenkins, Loni Elise
Jenkins, Loni Elise is an sole proprietor health care provider with primary practice located at 3579 Highway 138 Se Suite 101, Stockbridge GA 30281-4142. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Jenkins, Loni Elise can be contacted via phone (770) 507-0029.Contact Information
Primary practice address
3579 Highway 138 Se Suite 101
Stockbridge GA 30281-4142
Phone: (770) 507-0029
Fax: (770) 507-9990
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 141367 | North Carolina |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 063358 | Georgia |
Profile Details
| NPI number | 1053515338 |
|---|---|
| LBN Legal business name | Jenkins, Loni Elise |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 12th, 2007 |
| Last updated | Mar 17th, 2015 - about 9 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 | 1053515338 | NPPES |
| North Carolina | Other | 141367 | RESIDENT TRAINING LICENSE |
| North Carolina | MEDICAID | 806901621A | RESIDENT TRAINING LICENSE |
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