Geer, Jill Marie
Geer, Jill Marie is an individual health care provider with primary practice located at 510 W Adams St Suite 150, Plymouth IN 46563-1765. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Geer, Jill Marie can be contacted via phone (574) 335-7900.Contact Information
Primary practice address
510 W Adams St Suite 150
Plymouth IN 46563-1765
Phone: (574) 335-7900
Fax: (574) 335-0850
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 71005434A | Indiana |
Profile Details
| NPI number | 1811374747 |
|---|---|
| LBN Legal business name | Geer, Jill Marie |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 29th, 2015 |
| Last updated | Mar 22nd, 2018 - about 8 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 | 1811374747 | NPPES |
| Indiana | Other | 000000932414 | BCBS |
| Indiana | Other | 000000932414 | BCBS |
| Indiana | MEDICAID | 201286710 | BCBS |
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