Mccann, Jennifer R

Mccann, Jennifer R is an individual health care provider with primary practice located at 401 S Washington St , Deridder LA 70634-4863. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Obstetrics. Allopathic & Osteopathic Physicians / Obstetrics is her primary health care specialty. Mccann, Jennifer R can be contacted via phone (337) 515-4537.

Contact Information

Primary practice address
401 S Washington St Deridder LA 70634-4863
Phone: (337) 515-4537
Fax: (337) 460-1348
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 201272 Louisiana
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X 201272 Louisiana

Profile Details

NPI number 1083816854
LBN Legal business name Mccann, Jennifer R
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2007
Last updated Aug 12th, 2021 - about 3 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 1083816854 NPPES
Louisiana MEDICAID 1093271
Louisiana MEDICAID 201988701

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