Keagle, Jennifer Newman
Keagle, Jennifer Newman is an individual health care provider with primary practice located at 2400 S Flower St Fourth Floor, Los Angeles CA 90007. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is her primary health care specialty. Keagle, Jennifer Newman can be contacted via phone (213) 742-1433.Contact Information
Primary practice address
2400 S Flower St Fourth Floor
Los Angeles CA 90007
Phone: (213) 742-1433
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | MD00046842 | Washington |
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | A64773 | California |
Profile Details
| NPI number | 1154434306 |
|---|---|
| LBN Legal business name | Keagle, Jennifer Newman |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 15th, 2006 |
| Last updated | Jun 6th, 2018 - about 6 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 | 1154434306 | NPPES |
| California | Other | 00A647730 | MEDICAL PPIN # |
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