Riley, Jennifer J.

Riley, Jennifer J. is an individual health care provider with primary practice located at 5700 Bottineau Blvd Suite 100, Crystal MN 55429-3183. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Riley, Jennifer J. can be contacted via phone (763) 504-6500.

Contact Information

Primary practice address
5700 Bottineau Blvd Suite 100 Crystal MN 55429-3183
Phone: (763) 504-6500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 50322 Minnesota

Profile Details

NPI number 1316111768
LBN Legal business name Riley, Jennifer J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2008
Last updated Nov 19th, 2013 - about 12 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 1316111768 NPPES
Minnesota MEDICAID P01192299

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