Fedoroff, Jennifer Lynn

Fedoroff, Jennifer Lynn is an individual health care provider with primary practice located at 4021 Avenue B , Scottsbluff NE 69361-4602. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Fedoroff, Jennifer Lynn can be contacted via phone (503) 494-8211.

Contact Information

Primary practice address
4021 Avenue B Scottsbluff NE 69361-4602
Phone: (503) 494-8211
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X PG163242 Oregon
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 28521 Nebraska

Profile Details

NPI number 1336438332
LBN Legal business name Fedoroff, Jennifer Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2011
Last updated Oct 19th, 2016 - about 10 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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