Titus, Jennifer Lyles

Titus, Jennifer Lyles is an sole proprietor health care provider with primary practice located at 435 N Main St , Southampton NY 11968-2805. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Titus, Jennifer Lyles can be contacted via phone (949) 375-1857.

Contact Information

Primary practice address
435 N Main St Southampton NY 11968-2805
Phone: (949) 375-1857
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 'STUDENT' New York

Profile Details

NPI number 1003104712
LBN Legal business name Titus, Jennifer Lyles
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 14th, 2011
Last updated Jul 14th, 2011 - about 15 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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