Jenkins, Peter C
Jenkins, Peter C is an individual health care provider with primary practice located at 1701 N Senate Blvd , Indianapolis IN 46202-1239. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Jenkins, Peter C can be contacted via phone (317) 630-7582.Contact Information
Primary practice address
1701 N Senate Blvd
Indianapolis IN 46202-1239
Phone: (317) 630-7582
Fax: (317) 630-7694
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 4301101564 | Michigan |
Allopathic & Osteopathic Physicians / Surgery | 208600000X | MT185869 | Pennsylvania |
Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | 01074216A | Indiana |
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 01074216A | Indiana |
Profile Details
NPI number | 1083761019 |
---|---|
LBN Legal business name | Jenkins, Peter C |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 4th, 2007 |
Last updated | Sep 13th, 2022 - about 2 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 | 1083761019 | NPPES |
Indiana | MEDICAID | 201233600 |
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