Owens, Jenisus Marie
Owens, Jenisus Marie is an individual health care provider with primary practice located at 1101 S 28Th Ave Ste C , Hattiesburg MS 39402-2610. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Owens, Jenisus Marie can be contacted via phone (601) 261-1670.Contact Information
Primary practice address
1101 S 28Th Ave Ste C
Hattiesburg MS 39402-2610
Phone: (601) 261-1670
Fax: (601) 579-8381
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 25163 | Mississippi |
Profile Details
| NPI number | 1316390289 |
|---|---|
| LBN Legal business name | Owens, Jenisus Marie |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 15th, 2016 |
| Last updated | Apr 30th, 2021 - about 5 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 | 1316390289 | NPPES |
| Mississippi | MEDICAID | 08902261 |
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