Carnahan, Jennifer Lynn
Carnahan, Jennifer Lynn is an individual health care provider with primary practice located at 541 Clinical Dr # Cl630 , Indianapolis IN 46202-5233. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is her primary health care specialty. Carnahan, Jennifer Lynn can be contacted via phone (317) 278-2694.Contact Information
Primary practice address
541 Clinical Dr # Cl630
Indianapolis IN 46202-5233
Phone: (317) 278-2694
Fax: (317) 278-2650
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 55809 | Wisconsin |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 01074252A | Indiana |
Profile Details
| NPI number | 1578706099 |
|---|---|
| LBN Legal business name | Carnahan, Jennifer Lynn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 14th, 2009 |
| Last updated | Nov 18th, 2021 - about 5 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 | 1578706099 | NPPES |
| Wisconsin | MEDICAID | 1578706099 |
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