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
Phone: (907) 966-2411
Fax: (907) 966-8444
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780897405 | NPPES |
| Alaska | MEDICAID | MD3716 |
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