Joseph, Jody

Joseph, Jody is an individual health care provider with primary practice located at 2349 Lake Ave Ste 100 , Plymouth IN 46563-7836. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Joseph, Jody can be contacted via phone (574) 472-6700.

Contact Information

Primary practice address
2349 Lake Ave Ste 100 Plymouth IN 46563-7836
Phone: (574) 472-6700
Fax: (574) 941-3112
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71002470A Indiana

Profile Details

NPI number 1861663510
LBN Legal business name Joseph, Jody
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2008
Last updated Aug 27th, 2013 - about 13 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 1861663510 NPPES
Other 000000726441 BCBS
MEDICAID 200893890 BCBS
Other 000000726441 BCBS
Other 000000562397 BCBS

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