Jenkins, Michael D

Jenkins, Michael D is an individual health care provider with primary practice located at 1400 Wallace Blvd , Amarillo TX 79106-1708. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Jenkins, Michael D can be contacted via phone (806) 414-9970.

Contact Information

Primary practice address
1400 Wallace Blvd Amarillo TX 79106-1708
Phone: (806) 414-9970
Fax: (806) 351-3783
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X H2493 Texas

Profile Details

NPI number 1912900028
LBN Legal business name Jenkins, Michael D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Feb 26th, 2016 - about 9 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 1912900028 NPPES
Oklahoma MEDICAID 200219360 A
Oklahoma Other P00115086
Oklahoma Other 853160
Oklahoma MEDICAID V3692
Oklahoma MEDICAID 128199006
Oklahoma MEDICAID 128199003
Oklahoma Other A018

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