Magnusson, Jessica K

Magnusson, Jessica K is an individual health care provider with primary practice located at 21 Hughes Rd Suite 2, Madison AL 35758-3039. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Magnusson, Jessica K can be contacted via phone (256) 772-2037.

Contact Information

Primary practice address
21 Hughes Rd Suite 2 Madison AL 35758-3039
Phone: (256) 772-2037
Fax: (256) 772-9523
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 30253 Alabama
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 29130 South Carolina

Profile Details

NPI number 1487664470
LBN Legal business name Magnusson, Jessica K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Sep 14th, 2011 - about 14 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 1487664470 NPPES
South Carolina MEDICAID 291302

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