Mcneil, Jennifer Jeanne
Mcneil, Jennifer Jeanne is an sole proprietor health care provider with primary practice located at 1901 N California St , Stockton CA 95204-6005. She recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as her primary health care specialty. Mcneil, Jennifer Jeanne can be contacted via phone (209) 946-6800.Contact Information
Primary practice address
1901 N California St
Stockton CA 95204-6005
Phone: (209) 946-6800
Fax: (209) 946-6805
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | 22673 | Oklahoma |
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | G127680 | California |
Profile Details
NPI number | 1366465841 |
---|---|
LBN Legal business name | Mcneil, Jennifer Jeanne |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 25th, 2006 |
Last updated | Oct 29th, 2014 - about 10 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 | 1366465841 | NPPES |
Oklahoma | MEDICAID | 100210840A |
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