Jennings, Mary C

Jennings, Mary C is an sole proprietor health care provider with primary practice located at 4501 Mission Bay Dr #1E, San Diego CA 92109. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as her primary health care specialty. Jennings, Mary C can be contacted via phone (858) 270-9611.

Contact Information

Primary practice address
4501 Mission Bay Dr #1E San Diego CA 92109
Phone: (858) 270-9611
Fax: (858) 270-1725
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X G55908 California

Profile Details

NPI number 1427120658
LBN Legal business name Jennings, Mary C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 14th, 2006
Last updated Jan 14th, 2011 - about 15 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 1427120658 NPPES
California MEDICAID E60886
California MEDICAID 00G559081

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