Bobell, Jennifer R

Bobell, Jennifer R is an individual health care provider with primary practice located at 1145 E Clark Ave Ste F, Santa Maria CA 93455-5105. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Bobell, Jennifer R can be contacted via phone (805) 934-5140.

Contact Information

Primary practice address
1145 E Clark Ave Ste F Santa Maria CA 93455-5105
Phone: (805) 934-5140
Fax: (805) 934-3500
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036-110131 Illinois

Profile Details

NPI number 1790754489
LBN Legal business name Bobell, Jennifer R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2006
Last updated May 13th, 2014 - 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 1790754489 NPPES
Illinois Other 626467 HEALTHLINK
Illinois Other CF3444 HEALTHLINK
Illinois Other 10032052 HEALTHLINK
Illinois MEDICAID 036110131 HEALTHLINK
Illinois Other 088669 HEALTHLINK

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