Organization
JOVEN MEDICAL GROUP LLC
Active
Other names
John N. Joven, M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN N JOVEN M.D. (OWNER)
(317) 498-1491
Entity
Organization
Contact information
Practice address
745 N SWOPE ST, GREENFIELD, IN 46140-1332
(317) 498-1491
(317) 326-8333
Mailing address
PO BOX 161, FORTVILLE, IN 46040-0161
(317) 586-3612
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01045421
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01045421
INDIANA MEDICAL LICENSE
IN
01
—
BJ5085786
CONTROLLED SUBSTANCE REGISTRATION
IN
Enumeration date
02/09/2016
Last updated
09/18/2016
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