Premkumar, Beena Jennifer

Premkumar, Beena Jennifer is an individual health care provider with primary practice located at 600 Jackson St , Fredericksburg VA 22401-5719. She recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as her primary health care specialty. Premkumar, Beena Jennifer can be contacted via phone (540) 373-3223.

Contact Information

Primary practice address
600 Jackson St Fredericksburg VA 22401-5719
Phone: (540) 373-3223
Fax: (540) 371-3753
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X T-3193 Mississippi
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 0101264489 Virginia

Profile Details

NPI number 1144649567
LBN Legal business name Premkumar, Beena Jennifer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2014
Last updated Jan 15th, 2019 - about 5 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 1144649567 NPPES
Mississippi MEDICAID 08380581

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