Provider Demographics
NPI:1174645451
Name:JENNIFER L. NEY, D.O. INC.
Entity Type:Organization
Organization Name:JENNIFER L. NEY, D.O. INC.
Other - Org Name:INTEGRITY MEDICAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:NEY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:330-602-2656
Mailing Address - Street 1:1417 KADERLY ST NW
Mailing Address - Street 2:
Mailing Address - City:NEW PHILADELPHIA
Mailing Address - State:OH
Mailing Address - Zip Code:44663-1242
Mailing Address - Country:US
Mailing Address - Phone:330-602-2656
Mailing Address - Fax:330-602-2657
Practice Address - Street 1:1417 KADERLY ST NW
Practice Address - Street 2:
Practice Address - City:NEW PHILADELPHIA
Practice Address - State:OH
Practice Address - Zip Code:44663-1242
Practice Address - Country:US
Practice Address - Phone:330-602-2656
Practice Address - Fax:330-602-2657
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
Last Update Date:2007-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9342861Medicare PIN