Brokaw, Jennifer Jean

Brokaw, Jennifer Jean is an individual health care provider with primary practice located at 2333 Buchanan St , San Francisco CA 94115-1925. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Brokaw, Jennifer Jean can be contacted via phone (209) 342-2300.

Contact Information

Primary practice address
2333 Buchanan St San Francisco CA 94115-1925
Phone: (209) 342-2300
Fax: (209) 524-4240
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X G86078 California

Profile Details

NPI number 1104817626
LBN Legal business name Brokaw, Jennifer Jean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2005
Last updated Sep 24th, 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 1104817626 NPPES
California MEDICAID 00G860780
California Other 00G860780

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