Kreger, Jennifer Beth
Kreger, Jennifer Beth is an individual health care provider with primary practice located at 721-A River Drive , Fort Bragg CA 95437-5403. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Kreger, Jennifer Beth can be contacted via phone (707) 961-4631.Contact Information
Primary practice address
721-A River Drive
Fort Bragg CA 95437-5403
Phone: (707) 961-4631
Fax: (707) 964-1192
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | G077877 | California |
Profile Details
| NPI number | 1922005586 |
|---|---|
| LBN Legal business name | Kreger, Jennifer Beth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2005 |
| Last updated | Oct 24th, 2012 - about 12 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 | 1922005586 | NPPES |
| California | MEDICAID | 00G077877 |
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