Owen, Jennifer
Owen, Jennifer is an individual health care provider with primary practice located at 1551 Bishop St Ste 520 , San Luis Obispo CA 93401-4665. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Owen, Jennifer can be contacted via phone (805) 543-2744.Contact Information
Primary practice address
1551 Bishop St Ste 520
San Luis Obispo CA 93401-4665
Phone: (805) 543-2744
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 21299 | California |
Profile Details
| NPI number | 1982756052 |
|---|---|
| LBN Legal business name | Owen, Jennifer |
| Credentials | ATC, PA-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 17th, 2007 |
| Last updated | Oct 17th, 2023 - about 3 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 | 1982756052 | NPPES |
| California | MEDICAID | 1982756052 | |
| California | Other | CB287769 |
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