Schenkein, Jacqueline Phyllis

Schenkein, Jacqueline Phyllis is an individual health care provider with primary practice located at 1919 E Thomas Rd , Phoenix AZ 85016-7710. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as her primary health care specialty. Schenkein, Jacqueline Phyllis can be contacted via phone (602) 933-0940.

Contact Information

Primary practice address
1919 E Thomas Rd Phoenix AZ 85016-7710
Fax: (602) 933-0373
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 14392 Arizona

Profile Details

NPI number 1013979475
LBN Legal business name Schenkein, Jacqueline Phyllis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2006
Last updated Jan 21st, 2013 - about 11 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 1013979475 NPPES
Arizona MEDICAID 244400

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