Siddle, Jennifer Duckett

Siddle, Jennifer Duckett is an individual health care provider with primary practice located at 1400 Crescent Grn Suite 120, Cary NC 27518-8118. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Siddle, Jennifer Duckett can be contacted via phone (919) 972-7700.

Contact Information

Primary practice address
1400 Crescent Grn Suite 120 Cary NC 27518-8118
Phone: (919) 972-7700
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 2005-01904 North Carolina

Profile Details

NPI number 1104834860
LBN Legal business name Siddle, Jennifer Duckett
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2006
Last updated Jul 2nd, 2014 - 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 1104834860 NPPES
North Carolina MEDICAID 5903844

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