Jennings, Marvin Eevan

Jennings, Marvin Eevan is an sole proprietor health care provider with primary practice located at 3307 Hunter Ave Apt 1, Bronx NY 10475-1543. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as his primary health care specialty. Jennings, Marvin Eevan can be contacted via phone (718) 676-5262.

Contact Information

Primary practice address
3307 Hunter Ave Apt 1 Bronx NY 10475-1543
Phone: (718) 676-5262
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X N004966-1 New York

Profile Details

NPI number 1336115518
LBN Legal business name Jennings, Marvin Eevan
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 27th, 2006
Last updated Jul 9th, 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 1336115518 NPPES
New York MEDICAID 01281429

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