Lindstrom, Jennifer Ellen

Lindstrom, Jennifer Ellen is an individual health care provider with primary practice located at 1019 New Loudon Rd. , Cohoes NY 12047. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Lindstrom, Jennifer Ellen can be contacted via phone (518) 262-7500.

Contact Information

Primary practice address
1019 New Loudon Rd. Cohoes NY 12047
Phone: (518) 262-7500
Fax: (518) 262-7505
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 234782 New York
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 234782 New York

Profile Details

NPI number 1811980485
LBN Legal business name Lindstrom, Jennifer Ellen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2005
Last updated Jun 28th, 2021 - about 4 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 1811980485 NPPES
New York MEDICAID 02623430

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