Jeremiah, Jennifer

Jeremiah, Jennifer is an individual health care provider with primary practice located at 375 Wampanoag Trl Suite 301, Riverside RI 02915-2232. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Jeremiah, Jennifer can be contacted via phone (401) 649-4050.

Contact Information

Primary practice address
375 Wampanoag Trl Suite 301 Riverside RI 02915-2232
Fax: (401) 649-4051
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD08212 Rhode Island

Profile Details

NPI number 1851345011
LBN Legal business name Jeremiah, Jennifer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Sep 12th, 2016 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851345011 NPPES
Rhode Island MEDICAID 9006674

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