Eberlin-Nagel, Jennifer Lynn

Eberlin-Nagel, Jennifer Lynn is an individual health care provider with primary practice located at 2317 Franklin St , Michigan City IN 46360. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Eberlin-Nagel, Jennifer Lynn can be contacted via phone (219) 874-3211.

Contact Information

Primary practice address
2317 Franklin St Michigan City IN 46360
Phone: (219) 874-3211
Fax: (219) 879-1666
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 18003339A Indiana

Profile Details

NPI number 1023114519
LBN Legal business name Eberlin-Nagel, Jennifer Lynn
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2006
Last updated Aug 15th, 2018 - about 6 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1023114519 NPPES
Indiana MEDICAID 200853890
Indiana MEDICAID 248270R

Popular Providers