Owensby, Jennifer

Owensby, Jennifer is an sole proprietor health care provider with primary practice located at 4802 10Th Ave , Brooklyn NY 11219-2844. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is her primary health care specialty. Owensby, Jennifer can be contacted via phone (718) 283-8894.

Contact Information

Primary practice address
4802 10Th Ave Brooklyn NY 11219-2844
Fax: (718) 635-7235
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 25MA06519800 New Jersey
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 213965 New York
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 25MA06519800 New Jersey

Profile Details

NPI number 1942295076
LBN Legal business name Owensby, Jennifer
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 14th, 2005
Last updated May 3rd, 2024 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1942295076 NPPES
New York MEDICAID 02285165
New York Other 0100712-01
New York Other 1000030187
New York Other 135460101
New York Other 40N0391
New York Other 4C4667
New York Other 2246605
New York Other 8Q2301
New York Other 213965-A15
New York MEDICAID 0130001

Popular Providers