Jenison, James E

Jenison, James E is an individual health care provider with primary practice located at 1202 W Buena Vista Rd Ste 102, Evansville IN 47710-5185. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Jenison, James E can be contacted via phone (812) 425-0300.

Contact Information

Primary practice address
1202 W Buena Vista Rd Ste 102 Evansville IN 47710-5185
Phone: (812) 425-0300
Fax: (812) 428-8400
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01035567A Indiana

Profile Details

NPI number 1174511356
LBN Legal business name Jenison, James E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2005
Last updated Jan 6th, 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 1174511356 NPPES
Indiana MEDICAID 100248070A
Indiana Other 1578786612
Indiana Other 000000637987
Indiana Other 200859330Q

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