Dhaemers, Jared Ray

Dhaemers, Jared Ray is an individual health care provider with primary practice located at 1627 E Bristol St , Elkhart IN 46514-3817. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Dhaemers, Jared Ray can be contacted via phone (574) 262-0313.

Contact Information

Primary practice address
1627 E Bristol St Elkhart IN 46514-3817
Phone: (574) 262-0313
Fax: (574) 262-8163
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01061757A Indiana

Profile Details

NPI number 1770533424
LBN Legal business name Dhaemers, Jared Ray
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Apr 1st, 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 1770533424 NPPES
Indiana Other 000000871798 BCBS BMG PEDIATRICS BRISTOL STREET
Indiana MEDICAID 200818270 BCBS BMG PEDIATRICS BRISTOL STREET

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