Joyce, Jacqueline K

Joyce, Jacqueline K is an individual health care provider with primary practice located at 601 W 2Nd St , Bloomington IN 47403. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Joyce, Jacqueline K can be contacted via phone (812) 331-3405.

Contact Information

Primary practice address
601 W 2Nd St Bloomington IN 47403
Phone: (812) 331-3405
Fax: (812) 355-6538
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 01049313A Indiana

Profile Details

NPI number 1588647739
LBN Legal business name Joyce, Jacqueline K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
Last updated Dec 17th, 2020 - about 6 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 1588647739 NPPES
Indiana MEDICAID 200199640A
Indiana Other 000000338245
Indiana MEDICAID 4654586
Indiana MEDICAID 200199640

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