Preston, Jennifer

Preston, Jennifer is an individual health care provider with primary practice located at 1300 N 12Th St 512, Phoenix AZ 85006-2848. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Preston, Jennifer can be contacted via phone (602) 258-1519.

Contact Information

Primary practice address
1300 N 12Th St 512 Phoenix AZ 85006-2848
Phone: (602) 258-1519
Fax: (602) 258-5845
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Surgery 208600000X MD162105 Oregon
Allopathic & Osteopathic Physicians / Surgery 208600000X 49099 Arizona

Profile Details

NPI number 1902066111
LBN Legal business name Preston, Jennifer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2008
Last updated Sep 13th, 2016 - about 10 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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