Peppers, Jennifer Lee

Peppers, Jennifer Lee is an individual health care provider with primary practice located at 1775 Thompson Rd , Coos Bay OR 97420-2125. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Peppers, Jennifer Lee can be contacted via phone (541) 269-8111.

Contact Information

Primary practice address
1775 Thompson Rd Coos Bay OR 97420-2125
Phone: (541) 269-8111
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X CP202380 Oregon
Allopathic & Osteopathic Physicians / Surgery 208600000X 12708 New Hampshire
Allopathic & Osteopathic Physicians / Surgery 208600000X MD25433 Oregon

Profile Details

NPI number 1982780292
LBN Legal business name Peppers, Jennifer Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 29th, 2006
Last updated Jan 17th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982780292 NPPES
New Hampshire Other 001628901 MEDICARE PTAN
New Hampshire MEDICAID 30208937 MEDICARE PTAN
New Hampshire MEDICAID 3853025 MEDICARE PTAN

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