Cummings, Jennifer Lynn

Cummings, Jennifer Lynn is an individual health care provider with primary practice located at 230 E Day Rd Ste 160 , Mishawaka IN 46545-3463. She recently has only one registered license in Behavioral Health & Social Service Providers / Family, which is considered as her primary health care specialty. Cummings, Jennifer Lynn can be contacted via phone (574) 271-8222.

Contact Information

Primary practice address
230 E Day Rd Ste 160 Mishawaka IN 46545-3463
Fax: (574) 271-8896
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Family 103TF0000X 20041170 Indiana

Profile Details

NPI number 1093774630
LBN Legal business name Cummings, Jennifer Lynn
Credentials Certified Psychologist (CP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2006
Last updated Sep 28th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093774630 NPPES
Indiana Other 000000382360 BCBS PROVIDER NUMBER
Indiana MEDICAID 100091430A BCBS PROVIDER NUMBER

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