Mcmahon, Jeannine M

Mcmahon, Jeannine M is an individual health care provider with primary practice located at 12750 St Francis Dr , Crown Point IN 46307-0264. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Mcmahon, Jeannine M can be contacted via phone (219) 757-6331.

Contact Information

Primary practice address
12750 St Francis Dr Crown Point IN 46307-0264
Fax: (219) 757-6481
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 02001317A Indiana

Profile Details

NPI number 1578676326
LBN Legal business name Mcmahon, Jeannine M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2006
Last updated Jan 15th, 2024 - about 11 months 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 1578676326 NPPES
Indiana Other 000000088455 ANTHEM BC/BS
Indiana MEDICAID 100147450A ANTHEM BC/BS
Indiana Other 160016750 ANTHEM BC/BS

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