Individual
DR. JONATHAN JAMES TRUCHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
303 W 89TH AVE, STE E1, MERRILLVILLE, IN 46410-6295
(219) 736-8915
(219) 736-8928
Mailing address
9030 CLINE AVE, HIGHLAND, IN 46322-2204
(219) 736-8915
(219) 736-8928
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
07000937A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000250470
ANTHEM
—
01
—
000000250471
ANTHEM
—
01
—
000000527538
ANTHEM
IN
01
—
0007539414
AETNA
—
05
—
200499240
—
IN
Enumeration date
12/06/2006
Last updated
07/13/2019
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