Trueblood, Jacqueline S.
Trueblood, Jacqueline S. is an individual health care provider with primary practice located at 645 S Rogers St Ste A , Bloomington IN 47403-2353. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Trueblood, Jacqueline S. can be contacted via phone (812) 339-1691.Contact Information
Primary practice address
645 S Rogers St Ste A
Bloomington IN 47403-2353
Phone: (812) 339-1691
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 01061354A | Indiana |
Profile Details
| NPI number | 1356305577 |
|---|---|
| LBN Legal business name | Trueblood, Jacqueline S. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 14th, 2006 |
| Last updated | Apr 5th, 2023 - about 2 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 | 1356305577 | NPPES |
| Indiana | MEDICAID | 200814880 |
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