De Los Santos, Jennifer Lynne

De Los Santos, Jennifer Lynne is an individual health care provider with primary practice located at 4921 Parkview Pl Dept Radiation Oncology, Ll, Saint Louis MO 63110-1032. She recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as her primary health care specialty. De Los Santos, Jennifer Lynne can be contacted via phone (314) 747-7236.

Contact Information

Primary practice address
4921 Parkview Pl Dept Radiation Oncology, Ll Saint Louis MO 63110-1032
Phone: (314) 747-7236
Fax: (314) 362-7769
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 2024004383 Missouri

Profile Details

NPI number 1952344566
LBN Legal business name De Los Santos, Jennifer Lynne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Apr 25th, 2024 - about 2 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 1952344566 NPPES
Missouri MEDICAID 200137932

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