Whiteley, Jennifer Adele

Whiteley, Jennifer Adele is an individual health care provider with primary practice located at 5607 Mt. Murphy Rd. , Garden Valley CA 95633. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Whiteley, Jennifer Adele can be contacted via phone (530) 333-9460.

Contact Information

Primary practice address
5607 Mt. Murphy Rd. Garden Valley CA 95633
Phone: (530) 333-9460
Fax: (530) 333-1019
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 03-067230 California

Profile Details

NPI number 1821121641
LBN Legal business name Whiteley, Jennifer Adele
Credentials CAS
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2007
Last updated Jul 8th, 2007 - about 18 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 1821121641 NPPES
California Other 03-067230 CAS

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