# DR. JENNIFER AMBER LEAGUE-SOBON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1750492716
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 9800947 | NC | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 03/29/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0108388 | UNITED HEALTHCARE | — |
| 01 | — | 080161888 | MEDICARE RAILROAD | — |
| 01 | — | 126PA | BCBS | — |
| 01 | — | 21272 | CIGNA | — |
| 01 | — | 40709 | PARTNERS | — |
| 01 | — | 7719318 | AETNA | — |
| 05 | — | 89126PA | — | NC |
| 01 | — | 98071 | MEDCOST | — |