Jung, Eric Daniel

Jung, Eric Daniel is an individual health care provider with primary practice located at 24 Joliet St , Dyer IN 46311-1705. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Jung, Eric Daniel can be contacted via phone (219) 865-2141.

Contact Information

Primary practice address
24 Joliet St Dyer IN 46311-1705
Phone: (219) 865-2141
Fax: (219) 852-2502
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01078647A Indiana
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 01078647A Indiana

Profile Details

NPI number 1922413335
LBN Legal business name Jung, Eric Daniel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2014
Last updated Jan 12th, 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 1922413335 NPPES
Indiana Other 01078647A MEDICAL LICENSE
Indiana MEDICAID 300006031 MEDICAL LICENSE

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