Deleon, Jenni Conner

Deleon, Jenni Conner is an sole proprietor health care provider with primary practice located at 1900 Woodland Dr , Coos Bay OR 97420-0000. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Deleon, Jenni Conner can be contacted via phone (541) 267-5151.

Contact Information

Primary practice address
1900 Woodland Dr Coos Bay OR 97420-0000
Phone: (541) 267-5151
Fax: (541) 266-4579
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD25369 Oregon

Profile Details

NPI number 1215911045
LBN Legal business name Deleon, Jenni Conner
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 5th, 2005
Last updated May 20th, 2013 - about 13 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 1215911045 NPPES
Oregon MEDICAID 022756
Oregon Other 1407812365
Oregon Other 930635514
Oregon Other R0000WFBTV

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