Mozingo, Jennifer A.

Mozingo, Jennifer A. is an individual health care provider with primary practice located at 990 Oak Ridge Tpke , Oak Ridge TN 37830-6976. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Mozingo, Jennifer A. can be contacted via phone (865) 481-1000.

Contact Information

Primary practice address
990 Oak Ridge Tpke Oak Ridge TN 37830-6976
Phone: (865) 481-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 38716 Tennessee

Profile Details

NPI number 1710928395
LBN Legal business name Mozingo, Jennifer A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Nov 29th, 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 1710928395 NPPES
Tennessee Other 4088255 BLUE CROSS
Tennessee Other P00317398 BLUE CROSS
Tennessee MEDICAID 3897724 BLUE CROSS
Tennessee Other P00231577 BLUE CROSS
Tennessee Other 4107831 BLUE CROSS
Tennessee MEDICAID 3897723 BLUE CROSS

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