Magnuson, Jennifer Kay

Magnuson, Jennifer Kay is an individual health care provider with primary practice located at 5165 Mccarty Ln , Lafayette IN 47905-8764. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Magnuson, Jennifer Kay can be contacted via phone (765) 448-8000.

Contact Information

Primary practice address
5165 Mccarty Ln Lafayette IN 47905-8764
Phone: (765) 448-8000
Fax: (317) 838-4751
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X R77317 Arizona
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 65773 Arizona
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 01089435A Indiana

Profile Details

NPI number 1508429648
LBN Legal business name Magnuson, Jennifer Kay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 15th, 2019
Last updated Dec 29th, 2023 - about 3 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 1508429648 NPPES
Indiana Other 264430H90 MEDICARE PTAN
Indiana MEDICAID 300080161 MEDICARE PTAN

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