Justice, Jeffrey L.Eonard
Justice, Jeffrey L.Eonard is an individual health care provider with primary practice located at 1310 E 7Th St Ste F , Auburn IN 46706-2518. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Justice, Jeffrey L.Eonard can be contacted via phone (260) 266-8900.Contact Information
Primary practice address
1310 E 7Th St Ste F
Auburn IN 46706-2518
Phone: (260) 266-8900
Fax: (260) 266-8935
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 01036727A | Indiana |
Profile Details
| NPI number | 1770584377 |
|---|---|
| LBN Legal business name | Justice, Jeffrey L.Eonard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 4th, 2005 |
| Last updated | Oct 3rd, 2022 - about 4 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 | 1770584377 | NPPES |
| Indiana | MEDICAID | 100081240 | |
| Indiana | MEDICAID | 103410325 | |
| Indiana | Other | 020027041 | |
| Indiana | MEDICAID | 0999728 |
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