Richardson, Jennifer Lynn

Richardson, Jennifer Lynn is an individual health care provider with primary practice located at 3404 Newton St , Jasper IN 47546-1020. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Richardson, Jennifer Lynn can be contacted via phone (812) 634-7726.

Contact Information

Primary practice address
3404 Newton St Jasper IN 47546-1020
Phone: (812) 634-7726
Fax: (812) 634-7625
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01047337A Indiana

Profile Details

NPI number 1740374826
LBN Legal business name Richardson, Jennifer Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Apr 22nd, 2008 - about 17 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 1740374826 NPPES
Indiana MEDICAID 200227510

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