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NPI Code Detail

MEDICARE: DR. JENNIFER R BUNCH MD

MEDICARE: DR. JENNIFER R BUNCH MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician01050873IN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1080193204OTHERINRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1346239407
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JENNIFER R BUNCH MD
Provider Business Mailing Address
First Line : 221 N CELIA AVE
Second Line :
City : MUNCIE
State : IN
Zip : 47303-4609
Country : US
Telephone Number : 765-282-8905
Fax Number :
Provider Business Practice Location Address
First Line : 221 N CELIA AVE
Second Line :
City : MUNCIE
State : IN
Zip : 47303-4609
Country : US
Telephone Number : 765-741-2999
Fax Number : 765-747-3175
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2005
Last Update Date : 11/07/2017

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