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Contact Information

INDIANA PHYSICIAN MANAGEMENT-JENNINGS, LLC
301 HENRY ST
NORTH VERNON, IN47265
 Phone: 812-352-4200
 Fax: 317-870-0499
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for INDIANA PHYSICIAN MANAGEMENT JENNINGS LLC · (Female)

NPI Number 1861783326
Status Active
Credentials
Entity Individual
Enumeration date 05/02/2011
Last updated 01/11/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • IN Medicaid 201032430A
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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