Hoeksema, Jeanette R

Hoeksema, Jeanette R is an individual health care provider with primary practice located at 1391 N Baldwin Ave Ste 200 , Marion IN 46952-1913. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Hoeksema, Jeanette R can be contacted via phone (765) 660-7900.

Contact Information

Primary practice address
1391 N Baldwin Ave Ste 200 Marion IN 46952-1913
Phone: (765) 660-7900
Fax: (765) 671-7751
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 34004347A Indiana
Behavioral Health & Social Service Providers / Psychologist 103T00000X 20043405A Indiana

Profile Details

NPI number 1023162070
LBN Legal business name Hoeksema, Jeanette R
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2007
Last updated Dec 11th, 2020 - about 5 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 1023162070 NPPES
Indiana MEDICAID 300045435
Indiana Other 000001539402

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