Targgart, Jayne Lee

Targgart, Jayne Lee is an individual health care provider with primary practice located at 909 Tiller Dr , Valparaiso IN 46385-1304. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Targgart, Jayne Lee can be contacted via phone (219) 762-6135.

Contact Information

Primary practice address
909 Tiller Dr Valparaiso IN 46385-1304
Phone: (219) 762-6135
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71002111A Indiana

Profile Details

NPI number 1275669079
LBN Legal business name Targgart, Jayne Lee
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2007
Last updated Nov 16th, 2016 - about 10 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 1275669079 NPPES
Indiana MEDICAID 200868760

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