Webster, Jennifer Laurel

Webster, Jennifer Laurel is an individual health care provider with primary practice located at 1900 Woodland Dr , Coos Bay OR 97420-2045. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Webster, Jennifer Laurel can be contacted via phone (541) 267-5151.

Contact Information

Primary practice address
1900 Woodland Dr Coos Bay OR 97420-2045
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5595 Alaska
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD185032 Oregon

Profile Details

NPI number 1184638124
LBN Legal business name Webster, Jennifer Laurel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Jul 21st, 2022 - about 2 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 1184638124 NPPES
Alaska MEDICAID MD2687

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