Individual
JENNIFER L THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2114 25TH ST STE A, COLUMBUS, IN 47201-3239
(812) 372-1581
(812) 376-4028
Mailing address
PO BOX 775383, CHICAGO, IL 60677-5383
(812) 376-5315
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
02005451A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300018057
—
IN
Enumeration date
06/11/2012
Last updated
02/19/2024
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