Su, Jennifer M
Su, Jennifer M is an individual health care provider with primary practice located at 2712 Plaza Dr , Jefferson City MO 65109-1147. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Su, Jennifer M can be contacted via phone (573) 893-5500.Contact Information
Primary practice address
2712 Plaza Dr
Jefferson City MO 65109-1147
Phone: (573) 893-5500
Fax: (573) 893-3280
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 119368 | Missouri |
Profile Details
| NPI number | 1871594218 |
|---|---|
| LBN Legal business name | Su, Jennifer M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2005 |
| Last updated | Dec 22nd, 2014 - about 12 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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