Underhill, Jeanette Allen
Underhill, Jeanette Allen is an individual health care provider with primary practice located at 1620 Medical Ln Ste 100 , Fort Myers FL 33907-1143. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Underhill, Jeanette Allen can be contacted via phone (239) 275-1164.Contact Information
Primary practice address
1620 Medical Ln Ste 100
Fort Myers FL 33907-1143
Phone: (239) 275-1164
Fax: (239) 275-5212
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 4301067713 | Michigan |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | ME130505 | Florida |
Profile Details
| NPI number | 1831190396 |
|---|---|
| LBN Legal business name | Underhill, Jeanette Allen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2005 |
| Last updated | Jul 21st, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831190396 | NPPES |
| Michigan | MEDICAID | 447790010 |
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