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Contact Information

JENNIFER L HAVENER, MD
333 E COUNTY LINE RD STE B
GREENWOOD, IN46143
 Phone: 317-497-6333
 Fax: 317-497-6334
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neonatal-Perinatal Medicine

2080N0001X 37 Physician/Pediatric Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for JENNIFER L HAVENER · (Female)

NPI # 1043420078
Status Active
Credentials MD
Entity Individual
Enumeration date 05/22/2007
Last updated 11/27/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01065231A
  • IN Medicaid 200913440
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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