Reifenberger, Jody L

Reifenberger, Jody L is an individual health care provider with primary practice located at 150 Valpreda Rd , San Marcos CA 92069-2973. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Family Health. Physician Assistants & Advanced Practice Nursing Providers / Family Health is her primary health care specialty. Reifenberger, Jody L can be contacted via phone (760) 736-6700.

Contact Information

Primary practice address
150 Valpreda Rd San Marcos CA 92069-2973
Phone: (760) 736-6700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085002183 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family Health 364SF0001X 22669 California

Profile Details

NPI number 1386741072
LBN Legal business name Reifenberger, Jody L
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2006
Last updated Feb 26th, 2015 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1386741072 NPPES
Illinois MEDICAID 085002183

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