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Individual

MRS. JANINE B BOIVIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.-C

Contact information

Practice address
11380 ILLINOIS ST, CARMEL, IN 46032-9840
(317) 890-2000
(317) 859-7220
Mailing address
679 E COUNTY LINE RD, GREENWOOD, IN 46143-1049
(317) 890-2000
(317) 859-7220

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10000492A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000340608
ANTHEM PIN NUMBER
IN
01
1487680518
GROUP NPI
IN
01
970019595
MEDICARE RAILROAD
IN
Enumeration date
07/31/2006
Last updated
09/26/2025
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