Player, Jennifer Fudge
Player, Jennifer Fudge is an individual health care provider with primary practice located at 1914 Glen Meade Rd , Wilmington NC 28403-6025. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Player, Jennifer Fudge can be contacted via phone (910) 762-2651.Contact Information
Primary practice address
1914 Glen Meade Rd
Wilmington NC 28403-6025
Phone: (910) 762-2651
Fax: (910) 763-5709
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 2006-00404 | North Carolina |
Profile Details
NPI number | 1194725036 |
---|---|
LBN Legal business name | Player, Jennifer Fudge |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 21st, 2005 |
Last updated | Jul 25th, 2011 - about 13 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 | 1194725036 | NPPES |
North Carolina | MEDICAID | 89067C9 |
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