Pallone, Jennifer A.
Pallone, Jennifer A. is an individual health care provider with primary practice located at 521 E 86Th Ave Ste Z , Merrillville IN 46410-6236. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Pallone, Jennifer A. can be contacted via phone (219) 769-0777.Contact Information
Primary practice address
521 E 86Th Ave Ste Z
Merrillville IN 46410-6236
Phone: (219) 769-0777
Fax: (219) 755-0608
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 62273 | Connecticut |
Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 036084506 | Illinois |
Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 297065 | New York |
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 02001957A | Indiana |
Profile Details
NPI number | 1295888923 |
---|---|
LBN Legal business name | Pallone, Jennifer A. |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 18th, 2007 |
Last updated | Jun 7th, 2021 - about 4 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 | 1295888923 | NPPES |
Illinois | Other | F400160547 | MEDICARE PTAN (INDIVIDUAL) |
Illinois | Other | 201614 | MEDICARE PTAN (INDIVIDUAL) |
Illinois | Other | 84101 | MEDICARE PTAN (INDIVIDUAL) |
Illinois | Other | 036084506 | MEDICARE PTAN (INDIVIDUAL) |
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