Jennings, Marvin Eevan
Jennings, Marvin Eevan is an sole proprietor health care provider with primary practice located at 3307 Hunter Ave Apt 1, Bronx NY 10475-1543. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as his primary health care specialty. Jennings, Marvin Eevan can be contacted via phone (718) 676-5262.Contact Information
Primary practice address
3307 Hunter Ave Apt 1
Bronx NY 10475-1543
Phone: (718) 676-5262
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | N004966-1 | New York |
Profile Details
| NPI number | 1336115518 |
|---|---|
| LBN Legal business name | Jennings, Marvin Eevan |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 27th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1336115518 | NPPES |
| New York | MEDICAID | 01281429 |
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