Jennings, Marisa Leigh
Jennings, Marisa Leigh is an individual health care provider with primary practice located at 1900 8Th Ave Se , Minot ND 58701-4935. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Jennings, Marisa Leigh can be contacted via phone (701) 857-5998.Contact Information
Primary practice address
1900 8Th Ave Se
Minot ND 58701-4935
Phone: (701) 857-5998
Fax: (701) 857-5022
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | PT16828 | North Dakota |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | Q5200 | Texas |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 16828 | North Dakota |
Profile Details
| NPI number | 1902067366 |
|---|---|
| LBN Legal business name | Jennings, Marisa Leigh |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 18th, 2008 |
| Last updated | Dec 28th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902067366 | NPPES |
| Texas | Other | 467526YLLW | MEDICARE |
| Texas | Other | 8FG967 | MEDICARE |
| Texas | MEDICAID | 355635901 | MEDICARE |
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