Jenkins, Eric D

Jenkins, Eric D is an individual health care provider with primary practice located at 200 W Lorain St , Oberlin OH 44074-1026. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Jenkins, Eric D can be contacted via phone (440) 775-1211.

Contact Information

Primary practice address
200 W Lorain St Oberlin OH 44074-1026
Phone: (440) 775-1211
Fax: (440) 774-5707
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35078673 Ohio

Profile Details

NPI number 1588653190
LBN Legal business name Jenkins, Eric D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2005
Last updated Dec 5th, 2007 - about 19 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 1588653190 NPPES
Ohio MEDICAID 2547793
Ohio Other 000000518261
Ohio Other P00406924

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