Streicher, Jenna Leanne

Streicher, Jenna Leanne is an individual health care provider with primary practice located at 1130 W Michigan St # Fh204 , Indianapolis IN 46202-5209. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Dermatology, which is considered as her primary health care specialty. Streicher, Jenna Leanne can be contacted via phone (317) 274-0275.

Contact Information

Primary practice address
1130 W Michigan St # Fh204 Indianapolis IN 46202-5209
Phone: (317) 274-0275
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Dermatology 207NP0225X MD453788 Pennsylvania
Allopathic & Osteopathic Physicians / Pediatric Dermatology 207NP0225X 01081840A Indiana

Profile Details

NPI number 1619264660
LBN Legal business name Streicher, Jenna Leanne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2011
Last updated Nov 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619264660 NPPES
Indiana MEDICAID 300026901

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