Roux, Jennifer Leigh

Roux, Jennifer Leigh is an individual health care provider with primary practice located at 145 Kimel Park Dr Suite 330, Winston Salem NC 27103-6984. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as her primary health care specialty. Roux, Jennifer Leigh can be contacted via phone (336) 765-6181.

Contact Information

Primary practice address
145 Kimel Park Dr Suite 330 Winston Salem NC 27103-6984
Phone: (336) 765-6181
Fax: (336) 714-6481
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 2004-01316 North Carolina

Profile Details

NPI number 1912115395
LBN Legal business name Roux, Jennifer Leigh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2007
Last updated Dec 9th, 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 1912115395 NPPES
North Carolina Other 148M5 BCBS
North Carolina MEDICAID 5909439 BCBS

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