Panasci, Jennifer Ann
Panasci, Jennifer Ann is an sole proprietor health care provider with primary practice located at 5551 Winghaven Blvd Suite 240, O Fallon MO 63368-3617. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Panasci, Jennifer Ann can be contacted via phone (636) 561-5561.Contact Information
Primary practice address
5551 Winghaven Blvd Suite 240
O Fallon MO 63368-3617
Phone: (636) 561-5561
Fax: (636) 561-5557
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 110462 | Missouri |
Profile Details
| NPI number | 1659325777 |
|---|---|
| LBN Legal business name | Panasci, Jennifer Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 22nd, 2006 |
| Last updated | Dec 31st, 2008 - about 16 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 | 1659325777 | NPPES |
| New York | MEDICAID | 02067536 |
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