Maya, Jennifer M

Maya, Jennifer M is an individual health care provider with primary practice located at 1001 Sturdy Rd , Valparaiso IN 46383-4126. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Maya, Jennifer M can be contacted via phone (219) 462-7173.

Contact Information

Primary practice address
1001 Sturdy Rd Valparaiso IN 46383-4126
Phone: (219) 462-7173
Fax: (219) 462-7504
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 11013641A Indiana

Profile Details

NPI number 1518161686
LBN Legal business name Maya, Jennifer M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2007
Last updated Jan 21st, 2019 - about 6 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 1518161686 NPPES
Indiana MEDICAID 200997830

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