Keith, Jennifer Caroline

Keith, Jennifer Caroline is an individual health care provider with primary practice located at 1285 S State St , Hemet CA 92543-7976. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Keith, Jennifer Caroline can be contacted via phone (951) 765-1777.

Contact Information

Primary practice address
1285 S State St Hemet CA 92543-7976
Phone: (951) 765-1777
Fax: (951) 765-1772
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X G83301 California

Profile Details

NPI number 1710086400
LBN Legal business name Keith, Jennifer Caroline
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated May 10th, 2017 - 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 1710086400 NPPES
California Other 00G833010 MEDI-CAL PROVIDER NUMBER

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