Sanford, Lori Jacquemin
Sanford, Lori Jacquemin is an sole proprietor health care provider with primary practice located at 300 E Boyd Ave Ste 209, Greenfield IN 46140-2834. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Sanford, Lori Jacquemin can be contacted via phone (317) 967-7921.Contact Information
Primary practice address
300 E Boyd Ave Ste 209
Greenfield IN 46140-2834
Phone: (317) 967-7921
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 01072559A | Indiana |
Profile Details
| NPI number | 1427282763 |
|---|---|
| LBN Legal business name | Sanford, Lori Jacquemin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 14th, 2009 |
| Last updated | Apr 20th, 2017 - about 9 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 | 1427282763 | NPPES |
| Indiana | Other | IN2966001 | MEDICARE |
| Indiana | MEDICAID | 201100610A | MEDICARE |
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