Mccauley, Jennifer Lynn
Mccauley, Jennifer Lynn is an sole proprietor health care provider with primary practice located at 118 Knox Way , Chapel Hill NC 27516-6610. 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. Mccauley, Jennifer Lynn can be contacted via phone (984) 215-5900.Contact Information
Primary practice address
118 Knox Way
Chapel Hill NC 27516-6610
Phone: (984) 215-5900
Fax: (984) 215-5942
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 2018-01071 | North Carolina |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 207692 | Massachusetts |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 207692 | Massachusetts |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2018-01071 | North Carolina |
Profile Details
| NPI number | 1306836093 |
|---|---|
| LBN Legal business name | Mccauley, Jennifer Lynn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 25th, 2005 |
| Last updated | May 11th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306836093 | NPPES |
| Massachusetts | Other | 207692 | TUFTS HEALTH PLAN |
| Massachusetts | MEDICAID | 0192988 | TUFTS HEALTH PLAN |
| Massachusetts | Other | J24735 | TUFTS HEALTH PLAN |
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