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Individual

MRS. JAUHNA K DEUTSCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
4015 GATEWAY BLVD, SUITE 2120, NEWBURGH, IN 47630-8925
(812) 842-0907
(812) 464-0555
Mailing address
4015 GATEWAY BLVD, SUITE 2120, NEWBURGH, IN 47630-8925
(812) 842-0907
(812) 464-0565

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
99014177A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000341013
ANTHEM
01
062860
SIHO
01
691190
HEALTHLINK
05
95005419
KY
Enumeration date
05/05/2006
Last updated
05/03/2017
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