Massara, Jennifer Lynn
Massara, Jennifer Lynn is an individual health care provider with primary practice located at 705 Elm St Sw Suite 200, Albany OR 97321. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Massara, Jennifer Lynn can be contacted via phone (541) 812-4850.Contact Information
Primary practice address
705 Elm St Sw Suite 200
Albany OR 97321
Phone: (541) 812-4850
Fax: (541) 812-4889
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | MD151178 | Oregon |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | MD61120008 | Washington |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 35721 | Arizona |
Profile Details
| NPI number | 1174597165 |
|---|---|
| LBN Legal business name | Massara, Jennifer Lynn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 15th, 2006 |
| Last updated | Sep 15th, 2023 - about 2 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 | 1174597165 | NPPES |
| Arizona | Other | 35721 | AZ MEDICAL BOARD |
| Arizona | MEDICAID | 150211 | AZ MEDICAL BOARD |
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