Tittensor, Jennifer J

Tittensor, Jennifer J is an individual health care provider with primary practice located at 3550 N University Ave Ste 250, Provo UT 84604. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Tittensor, Jennifer J can be contacted via phone (801) 374-9625.

Contact Information

Primary practice address
3550 N University Ave Ste 250 Provo UT 84604
Fax: (801) 374-9690
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 60750371205 Utah

Profile Details

NPI number 1568497634
LBN Legal business name Tittensor, Jennifer J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Sep 13th, 2021 - about 4 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 1568497634 NPPES
Utah MEDICAID 870516264009

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