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
Fax: (317) 630-7694
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083761019 NPPES
Indiana MEDICAID 201233600

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