Mastruserio, Jennifer Jefferis

Mastruserio, Jennifer Jefferis is an individual health care provider with primary practice located at 1830 Bethel Rd Suite C, Columbus OH 43220-1809. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Mastruserio, Jennifer Jefferis can be contacted via phone (614) 326-1600.

Contact Information

Primary practice address
1830 Bethel Rd Suite C Columbus OH 43220-1809
Phone: (614) 326-1600
Fax: (614) 326-3600
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 35070134 Ohio

Profile Details

NPI number 1497715544
LBN Legal business name Mastruserio, Jennifer Jefferis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Jul 8th, 2007 - about 17 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 1497715544 NPPES
Ohio Other 000000121076 ANTHEM
Ohio Other 1201235 ANTHEM

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