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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 11 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 1366465841 NPPES
Oklahoma MEDICAID 100210840A

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