Gudgel, Jessica Robin
Gudgel, Jessica Robin is an individual health care provider with primary practice located at 1114 N Western Ave , Marion IN 46952. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Gudgel, Jessica Robin can be contacted via phone (765) 662-0395.Contact Information
Primary practice address
1114 N Western Ave
Marion IN 46952
Phone: (765) 662-0395
Fax: (765) 662-0396
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 08001730A | Indiana |
Profile Details
| NPI number | 1598987398 |
|---|---|
| LBN Legal business name | Gudgel, Jessica Robin |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1598987398 | NPPES |
| Indiana | Other | 000000343924 | BCBS |
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