Mcnichol, Jennifer Susan

Mcnichol, Jennifer Susan is an individual health care provider with primary practice located at 222 Tongass Dr , Sitka AK 99835-9416. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Mcnichol, Jennifer Susan can be contacted via phone (907) 966-2411.

Contact Information

Primary practice address
222 Tongass Dr Sitka AK 99835-9416
Fax: (907) 966-8444
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 3716 Alaska

Profile Details

NPI number 1780897405
LBN Legal business name Mcnichol, Jennifer Susan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2007
Last updated Oct 19th, 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 1780897405 NPPES
Alaska MEDICAID MD3716

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