Marinkovich-Davidson, Joann Elizabeth

Marinkovich-Davidson, Joann Elizabeth is an individual health care provider with primary practice located at 1500 S Lake Park Ave Sp402 , Hobart IN 46342-6638. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Marinkovich-Davidson, Joann Elizabeth can be contacted via phone (219) 945-4488.

Contact Information

Primary practice address
1500 S Lake Park Ave Sp402 Hobart IN 46342-6638
Phone: (219) 945-4488
Fax: (219) 947-6015
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71004356A Indiana

Profile Details

NPI number 1023356656
LBN Legal business name Marinkovich-Davidson, Joann Elizabeth
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2013
Last updated Jan 8th, 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 1023356656 NPPES
Indiana MEDICAID 201140590

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