Jennings, Mary C
Jennings, Mary C is an sole proprietor health care provider with primary practice located at 4501 Mission Bay Dr #1E, San Diego CA 92109. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as her primary health care specialty. Jennings, Mary C can be contacted via phone (858) 270-9611.Contact Information
Primary practice address
4501 Mission Bay Dr #1E
San Diego CA 92109
Phone: (858) 270-9611
Fax: (858) 270-1725
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | G55908 | California |
Profile Details
| NPI number | 1427120658 |
|---|---|
| LBN Legal business name | Jennings, Mary C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 14th, 2006 |
| Last updated | Jan 14th, 2011 - about 14 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 | 1427120658 | NPPES |
| California | MEDICAID | E60886 | |
| California | MEDICAID | 00G559081 |
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