Jennings, Emilie Jean
Jennings, Emilie Jean is an individual health care provider with primary practice located at 1900 Chester Blvd , Richmond IN 47374-1213. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Jennings, Emilie Jean can be contacted via phone (765) 962-2020.Contact Information
Primary practice address
1900 Chester Blvd
Richmond IN 47374-1213
Phone: (765) 962-2020
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 18003738A | Indiana |
Profile Details
| NPI number | 1821352832 |
|---|---|
| LBN Legal business name | Jennings, Emilie Jean |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 25th, 2012 |
| Last updated | May 27th, 2014 - about 10 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 | 1821352832 | NPPES |
| Indiana | MEDICAID | 201082950 | |
| Indiana | MEDICAID | 0093864 |
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