Crocker, Jennifer V

Crocker, Jennifer V is an individual health care provider with primary practice located at 702 Barnhill Dr , Indianapolis IN 46202-5128. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Rehabilitation Medicine, which is considered as her primary health care specialty. Crocker, Jennifer V can be contacted via phone (317) 274-1201.

Contact Information

Primary practice address
702 Barnhill Dr Indianapolis IN 46202-5128
Phone: (317) 274-1201
Fax: (317) 278-9905
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Rehabilitation Medicine 2081P0010X 01057865 Indiana

Profile Details

NPI number 1356445878
LBN Legal business name Crocker, Jennifer V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2006
Last updated Jan 23rd, 2008 - about 18 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 1356445878 NPPES
Indiana MEDICAID 200446960
Indiana MEDICAID 64066848

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