Su, Jennifer M

Su, Jennifer M is an individual health care provider with primary practice located at 2712 Plaza Dr , Jefferson City MO 65109-1147. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Su, Jennifer M can be contacted via phone (573) 893-5500.

Contact Information

Primary practice address
2712 Plaza Dr Jefferson City MO 65109-1147
Fax: (573) 893-3280
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 119368 Missouri

Profile Details

NPI number 1871594218
LBN Legal business name Su, Jennifer M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Dec 22nd, 2014 - about 10 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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