Whitehead, Jennifer Lynne

Whitehead, Jennifer Lynne is an individual health care provider with primary practice located at 830 W High St Ste 102 , Lima OH 45801-3972. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Whitehead, Jennifer Lynne can be contacted via phone (419) 222-4045.

Contact Information

Primary practice address
830 W High St Ste 102 Lima OH 45801-3972
Phone: (419) 222-4045
Fax: (419) 228-5665
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 131285 Ohio
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 131285 Ohio

Profile Details

NPI number 1316366099
LBN Legal business name Whitehead, Jennifer Lynne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2014
Last updated Jul 15th, 2019 - about 5 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 1316366099 NPPES
Ohio MEDICAID 0223885

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