Duchane, Jennifer Renee

Duchane, Jennifer Renee is an individual health care provider with primary practice located at 1436 Locust St , Terre Haute IN 47807-1648. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Duchane, Jennifer Renee can be contacted via phone (812) 232-7447.

Contact Information

Primary practice address
1436 Locust St Terre Haute IN 47807-1648
Phone: (812) 232-7447
Fax: (812) 232-6962
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 12009854 Indiana

Profile Details

NPI number 1174704860
LBN Legal business name Duchane, Jennifer Renee
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2007
Last updated Apr 3rd, 2024 - about 2 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 1174704860 NPPES
Indiana MEDICAID 200169260A

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