Ayscue, Jennifer

Ayscue, Jennifer is an individual health care provider with primary practice located at 625 6Th Ave S , St Petersburg FL 33701-4662. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is his primary health care specialty. Ayscue, Jennifer can be contacted via phone (727) 893-6363.

Contact Information

Primary practice address
625 6Th Ave S St Petersburg FL 33701-4662
Phone: (727) 893-6363
Fax: (727) 893-6364
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD32652 District of Columbia
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X ME159244 Florida

Profile Details

NPI number 1265411227
LBN Legal business name Ayscue, Jennifer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Sep 10th, 2024 - 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 1265411227 NPPES
District of Columbia MEDICAID 010103304
District of Columbia MEDICAID 025804400
District of Columbia MEDICAID 699312500
District of Columbia Other 022077W91

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