Carandang, Jennifer M
Carandang, Jennifer M is an individual health care provider with primary practice located at 36711 American Way Ste A , Avon OH 44011-4062. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Carandang, Jennifer M can be contacted via phone (440) 653-8091.Contact Information
Primary practice address
36711 American Way Ste A
Avon OH 44011-4062
Phone: (440) 653-8091
Fax: (440) 653-8089
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 35075271 | Ohio |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 35075271 | Ohio |
Profile Details
| NPI number | 1912909862 |
|---|---|
| LBN Legal business name | Carandang, Jennifer M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2005 |
| Last updated | Nov 6th, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912909862 | NPPES |
| Ohio | MEDICAID | 2260771 | |
| Ohio | Other | P00199413 | |
| Ohio | Other | H544081 |
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