King, Jennifer L

King, Jennifer L is an individual health care provider with primary practice located at 800 N Alpha St , Grand Island NE 68803-4320. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. King, Jennifer L can be contacted via phone (308) 382-2010.

Contact Information

Primary practice address
800 N Alpha St Grand Island NE 68803-4320
Phone: (308) 382-2010
Fax: (308) 382-9549
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 21859 Nebraska

Profile Details

NPI number 1972501716
LBN Legal business name King, Jennifer L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2005
Last updated Mar 25th, 2014 - about 11 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 1972501716 NPPES
Nebraska Other 35830 BCBS NUMBER
Nebraska MEDICAID 47059252300 BCBS NUMBER

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