Correa, Juan J
Correa, Juan J is an individual health care provider with primary practice located at 1711 N 6 1/2 St Ste 200, Terre Haute IN 47804-2766. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Correa, Juan J can be contacted via phone (812) 242-3610.Contact Information
Primary practice address
1711 N 6 1/2 St Ste 200
Terre Haute IN 47804-2766
Phone: (812) 242-3610
Fax: (812) 242-3630
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 01027664A | Indiana |
Profile Details
NPI number | 1386751931 |
---|---|
LBN Legal business name | Correa, Juan J |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 23rd, 2006 |
Last updated | Aug 18th, 2010 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1386751931 | NPPES |
Other | 000000089646 | ANTHEM | |
Other | P00818705 | ANTHEM | |
MEDICAID | 100250360 | ANTHEM |
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