Popovsky, Jennifer L

Popovsky, Jennifer L is an individual health care provider with primary practice located at 1133 Medina Rd Ste 100 , Medina OH 44256-5913. She recently has only one registered license in Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, which is considered as her primary health care specialty. Popovsky, Jennifer L can be contacted via phone (330) 239-4350.

Contact Information

Primary practice address
1133 Medina Rd Ste 100 Medina OH 44256-5913
Phone: (330) 239-4350
Fax: (330) 239-4584
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 35076146 P Ohio

Profile Details

NPI number 1952307324
LBN Legal business name Popovsky, Jennifer L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Sep 3rd, 2014 - about 10 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 1952307324 NPPES
Ohio Other 070015200 MEDICARE RAILROAD
Ohio MEDICAID 2190785 MEDICARE RAILROAD
Ohio Other 9186055 MEDICARE RAILROAD
Ohio Other 9186053 MEDICARE RAILROAD

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