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Contact Information

ERIC J JENKINSON, MD
1255 LIBERTY ST
REDDING, CA96001-0814
 Phone: 530-246-2467
 Fax: 530-246-5632
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

2080S0010X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for ERIC J JENKINSON · (Male)

NPI Number 1427057132
Status Active
Credentials MD
Entity Individual
Enumeration date 07/15/2005
Last updated 08/03/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01050809A
  • IN Medicaid 200216530
  • IN Other 250011958 RAIL ROAD MEDICARE
Hospital affiliation(s)
  • ST ELIZABETH COMMUNITY HOSPITAL - (Acute Care)
    2550 SISTER MARY COLUMBA DRIVE
    RED BLUFF, CA 96080
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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