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Contact Information

ASHLEY J ENNEDY, DO
10243 GENETIC CENTER DR
SAN DIEGO, CA92121-6310
 Phone: 858-499-2600
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Medicine

2083X0100X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for ASHLEY J ENNEDY · (Female)

NPI # 1861908386
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 12/19/2017
Last updated 06/05/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 20A17045
Hospital affiliation(s) Not Available
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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