Smits, Jennifer Anne Nelson

Smits, Jennifer Anne Nelson is an individual health care provider with primary practice located at 3600 Nw Samaritan Dr , Corvallis OR 97330-3737. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Smits, Jennifer Anne Nelson can be contacted via phone (541) 768-5111.

Contact Information

Primary practice address
3600 Nw Samaritan Dr Corvallis OR 97330-3737
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X A77762 California
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD27839 Oregon
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD27839 Oregon

Profile Details

NPI number 1407928153
LBN Legal business name Smits, Jennifer Anne Nelson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2006
Last updated Nov 6th, 2020 - about 5 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 1407928153 NPPES
California MEDICAID 00A777620

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