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Contact Information

JENNIFER PETERSEN GOLDSPIEL, MD
1312 W. ARCH HAVEN AVENUE
BLOOMINGTON, IN47403
 Phone: 812-676-4144
 Fax: 812-339-8344
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JENNIFER PETERSEN GOLDSPIEL · (Female)

NPI # 1104821974
Status Active
Credentials MD
Entity Individual
Enumeration date 06/16/2005
Last updated 05/17/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01059768A
  • IN Medicaid 200495150
Hospital affiliation(s)
  • GREENE COUNTY GENERAL HOSPITAL - (Critical Access)
    1185 N 1000 W
    LINTON, IN 47441
  • INDIANA UNIVERSITY HEALTH - (Acute Care)
    1701 N SENATE BLVD
    INDIANAPOLIS, IN 46202
  • INDIANA UNIVERSITY HEALTH BEDFORD HOSPITAL - (Critical Access)
    2900 W 16TH ST
    BEDFORD, IN 47421
  • INDIANA UNIVERSITY HEALTH BLOOMINGTON HOSPITAL - (Acute Care)
    601 W SECOND ST
    BLOOMINGTON, IN 47403
  • INDIANA UNIVERSITY HEALTH PAOLI HOSPITAL - (Critical Access)
    642 W HOSPITAL RD
    PAOLI, IN 47454
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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