Cothron, Jennifer
Cothron, Jennifer is an individual health care provider with primary practice located at 333 E County Line Rd , Greenwood IN 46143-1079. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Cothron, Jennifer can be contacted via phone (317) 497-6800.Contact Information
Primary practice address
333 E County Line Rd
Greenwood IN 46143-1079
Phone: (317) 497-6800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 28188603A | Indiana |
Profile Details
| NPI number | 1376999516 |
|---|---|
| LBN Legal business name | Cothron, Jennifer |
| Credentials | NP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 6th, 2016 |
| Last updated | Nov 27th, 2023 - about 3 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 | 1376999516 | NPPES |
| Indiana | MEDICAID | 201394830 | |
| Indiana | Other | P01723962 |
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