Crocker, Jennifer V
Crocker, Jennifer V is an individual health care provider with primary practice located at 702 Barnhill Dr , Indianapolis IN 46202-5128. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Rehabilitation Medicine, which is considered as her primary health care specialty. Crocker, Jennifer V can be contacted via phone (317) 274-1201.Contact Information
Primary practice address
702 Barnhill Dr
Indianapolis IN 46202-5128
Phone: (317) 274-1201
Fax: (317) 278-9905
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatric Rehabilitation Medicine | 2081P0010X | 01057865 | Indiana |
Profile Details
NPI number | 1356445878 |
---|---|
LBN Legal business name | Crocker, Jennifer V |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 13th, 2006 |
Last updated | Jan 23rd, 2008 - about 17 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 | 1356445878 | NPPES |
Indiana | MEDICAID | 200446960 | |
Indiana | MEDICAID | 64066848 |
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