Willert, Jennifer Reikes

Willert, Jennifer Reikes is an individual health care provider with primary practice located at 3010 Childrens Way 2-West, San Diego CA 92123-4223. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology. Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology is her primary health care specialty. Willert, Jennifer Reikes can be contacted via phone (858) 966-5811.

Contact Information

Primary practice address
3010 Childrens Way 2-West San Diego CA 92123-4223
Phone: (858) 966-5811
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A55446 California
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X A55446 California

Profile Details

NPI number 1831260686
LBN Legal business name Willert, Jennifer Reikes
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Mar 7th, 2012 - about 12 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 1831260686 NPPES
California MEDICAID 00A554460

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