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
Phone: (574) 271-8222
Fax: (574) 271-8896
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093774630 | NPPES |
| Indiana | Other | 000000382360 | BCBS PROVIDER NUMBER |
| Indiana | MEDICAID | 100091430A | BCBS PROVIDER NUMBER |
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