Lotter, Jennifer Kristine

Lotter, Jennifer Kristine is an individual health care provider with primary practice located at 5949 W Raymond St , Indianapolis IN 46241-4348. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Lotter, Jennifer Kristine can be contacted via phone (317) 390-5575.

Contact Information

Primary practice address
5949 W Raymond St Indianapolis IN 46241-4348
Phone: (317) 390-5575
Fax: (317) 486-2189
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 05006280A Indiana

Profile Details

NPI number 1588631642
LBN Legal business name Lotter, Jennifer Kristine
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2006
Last updated Jun 24th, 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 1588631642 NPPES
Indiana Other 000000302847 ANTHEM ID
Indiana MEDICAID 200455620 ANTHEM ID

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