Vidal, Jennifer Lyn

Vidal, Jennifer Lyn is an individual health care provider with primary practice located at 332 Harrison Ave , Harrison NJ 07029-1775. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Vidal, Jennifer Lyn can be contacted via phone (973) 484-4584.

Contact Information

Primary practice address
332 Harrison Ave Harrison NJ 07029-1775
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 25MB08925500 New Jersey

Profile Details

NPI number 1649565201
LBN Legal business name Vidal, Jennifer Lyn
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2011
Last updated Jun 16th, 2011 - about 14 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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