Jennings, Eugene Leslie
Jennings, Eugene Leslie is an sole proprietor health care provider with primary practice located at 30-32 N Main St , Carbondale PA 18407-2304. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychosomatic Medicine, which is considered as his primary health care specialty. Jennings, Eugene Leslie can be contacted via phone (570) 242-2271.Contact Information
Primary practice address
30-32 N Main St
Carbondale PA 18407-2304
Phone: (570) 242-2271
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychosomatic Medicine | 2084P0015X | MD069938L | Pennsylvania |
Profile Details
| NPI number | 1720296858 |
|---|---|
| LBN Legal business name | Jennings, Eugene Leslie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 21st, 2007 |
| Last updated | Mar 28th, 2017 - about 7 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 | 1720296858 | NPPES |
| Pennsylvania | Other | MD069938L | LICENSE |
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