Kukulski, Jacquelyn Michelle

Kukulski, Jacquelyn Michelle is an individual health care provider with primary practice located at 10240 Calumet Ave Fl 2 , Munster IN 46321-4082. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Kukulski, Jacquelyn Michelle can be contacted via phone (219) 922-9150.

Contact Information

Primary practice address
10240 Calumet Ave Fl 2 Munster IN 46321-4082
Phone: (219) 922-9150
Fax: (219) 922-9180
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 125.074969 Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036.157681 Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 02007548A Indiana

Profile Details

NPI number 1215499249
LBN Legal business name Kukulski, Jacquelyn Michelle
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2019
Last updated Apr 22nd, 2025 - about last year

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 1215499249 NPPES
Indiana MEDICAID 300083601
Indiana Other 1103769274
Indiana MEDICAID 390200000X

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