Hiam, Jennie P

Hiam, Jennie P is an sole proprietor health care provider with primary practice located at 907 Se 8Th St , Evansville IN 47713-1530. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Hiam, Jennie P can be contacted via phone (812) 436-0224.

Contact Information

Primary practice address
907 Se 8Th St Evansville IN 47713-1530
Fax: (812) 436-0230
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71000431 Indiana

Profile Details

NPI number 1144229295
LBN Legal business name Hiam, Jennie P
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 20th, 2005
Last updated Mar 26th, 2010 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144229295 NPPES
Other 000000328971 ANTHEM BC/BS
MEDICAID 100465880A ANTHEM BC/BS
Other 351791786104 ANTHEM BC/BS

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