Cunningham, Jennifer M

Cunningham, Jennifer M is an individual health care provider with primary practice located at 704 S Webster Ave , Green Bay WI 54301-3528. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Cunningham, Jennifer M can be contacted via phone (920) 433-6050.

Contact Information

Primary practice address
704 S Webster Ave Green Bay WI 54301-3528
Phone: (920) 433-6050
Fax: (920) 433-6049
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 3258-320 Wisconsin
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 036-094893 Illinois

Profile Details

NPI number 1790771962
LBN Legal business name Cunningham, Jennifer M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2005
Last updated Oct 5th, 2023 - about 3 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 1790771962 NPPES
Illinois Other 01633083 BCBS IL
Illinois Other 383649745 BCBS IL
Illinois MEDICAID 036094893 BCBS IL

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