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
Phone: (718) 283-8894
Fax: (718) 635-7235
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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 |
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