National Provider Identifier Database

JEFFREY W INNIS, MD – NPI #1053321679
Clinical Molecular Genetics

A clinical molecular geneticist demonstrates competence in performing and interpreting molecular analyses relevant to the diagnosis and management of human genetic diseases and is a consultant regarding laboratory diagnosis of a broad range of inherited disorders.


Contact Information

JEFFREY W INNIS, MD
23450 VIA COCONUT PT
ESTERO, FL34135-1877
Phone: 239-468-0210
Fax: 239-343-4236
Website:
Specialty Taxonomy Code
* Clinical Molecular Genetics 207SG0203X
Clinical Genetics (M.D.) 207SG0201X
Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for JEFFREY W INNIS

NPI Number 1053321679
Credentials MD
Entity Individual
Enumeration date 08/08/2006
Last updated 04/04/2022 - About 4 years ago
Sole proprietor1 No
Identifiers
  • FL License #: ME152778
  • MI License #: 4301058671
  • FL Medicaid: 113233700
  • MI Medicaid: 2774825
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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