Eitel, Jennifer M

Eitel, Jennifer M is an individual health care provider with primary practice located at 6611 Cedarwood Dr , Huntington Beach CA 92648-6659. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Eitel, Jennifer M can be contacted via phone (714) 308-6784.

Contact Information

Primary practice address
6611 Cedarwood Dr Huntington Beach CA 92648-6659
Phone: (714) 308-6784
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X N1711 Texas
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A104530 California

Profile Details

NPI number 1568588622
LBN Legal business name Eitel, Jennifer M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2007
Last updated Mar 7th, 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 1568588622 NPPES
Texas MEDICAID 198795002
Texas MEDICAID 198795003
Texas Other LL1716
Texas MEDICAID 198795005
Texas MEDICAID 198795011
Texas MEDICAID 198795001
Texas MEDICAID 198795004
Texas MEDICAID 198795006

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