Beaudreau, Jennifer

Beaudreau, Jennifer is an sole proprietor health care provider with primary practice located at 1350 Walton Way Emergency Dept University Hospital, Augusta GA 30901-2612. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Beaudreau, Jennifer can be contacted via phone (706) 774-2223.

Contact Information

Primary practice address
1350 Walton Way Emergency Dept University Hospital Augusta GA 30901-2612
Phone: (706) 774-2223
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 31002 Arizona
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 31002 Arizona

Profile Details

NPI number 1225082977
LBN Legal business name Beaudreau, Jennifer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 19th, 2006
Last updated Mar 19th, 2008 - 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 1225082977 NPPES
Arizona MEDICAID 746092

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