Redd, Jennifer
Redd, Jennifer is an individual health care provider with primary practice located at 400 State Road 30 , Espanola NM 87532-8208. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Redd, Jennifer can be contacted via phone (505) 753-9421.Contact Information
Primary practice address
400 State Road 30
Espanola NM 87532-8208
Phone: (505) 753-9421
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD2017-0668 | New Mexico |
Profile Details
| NPI number | 1891113049 |
|---|---|
| LBN Legal business name | Redd, Jennifer |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 4th, 2014 |
| Last updated | Apr 18th, 2018 - about 6 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 | 1891113049 | NPPES |
| New Mexico | Other | MD2017-0668 | MEDICAL LICENSE |
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