O'Hea, Jennifer A

O'Hea, Jennifer A is an individual health care provider with primary practice located at 1111 E Mcdowell Rd Dept Of Critical Care - Banner Good Samaritan, Phoenix AZ 85006-2612. She recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as her primary health care specialty. O'Hea, Jennifer A can be contacted via phone (602) 839-2217.

Contact Information

Primary practice address
1111 E Mcdowell Rd Dept Of Critical Care - Banner Good Samaritan Phoenix AZ 85006-2612
Phone: (602) 839-2217
Fax: (602) 839-2718
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 29436 Arizona

Profile Details

NPI number 1558338517
LBN Legal business name O'Hea, Jennifer A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Aug 31st, 2011 - about 14 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 1558338517 NPPES
Arizona MEDICAID 934283

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