Oldham, Jennifer

Oldham, Jennifer is an individual health care provider with primary practice located at 401 Phalen Blvd - Ms 41102A Healthpartners Specialty Center 401, St. Paul MN 55130-5302. She recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as her primary health care specialty. Oldham, Jennifer can be contacted via phone (651) 254-7560.

Contact Information

Primary practice address
401 Phalen Blvd - Ms 41102A Healthpartners Specialty Center 401 St. Paul MN 55130-5302
Phone: (651) 254-7560
Fax: (651) 254-7564
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 46816 Minnesota

Profile Details

NPI number 1578514212
LBN Legal business name Oldham, Jennifer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Dec 1st, 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 1578514212 NPPES
Minnesota MEDICAID 701140700

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