Jean Valentine Corcoran, MD

Individual provider Active NPI Internal Medicine Physician · Zionsville, IN

NPI 1306188370 · NPPES record last updated Mar 18, 2013

Key facts

NPI
1306188370
Entity type
Individual (NPI type 1)
Primary specialty
Internal Medicine Physician 207R00000X
License
01033742A (IN)
Practice address
875 Sugarbush RDG
Zionsville, IN 46077-1911
Phone
(317) 873-3598
Fax
(317) 873-6816
NPI assigned
Mar 18, 2013
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01033742AINMDInternal Medicine Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01033742A IN Yes

Addresses

Primary practice location

875 Sugarbush RDG
Zionsville, IN 46077-1911

Mailing address

875 Sugarbush RDG
Zionsville, IN 46077-1911
Phone (317) 873-3598

Other providers in Zionsville, IN

All providers in Zionsville, IN · Internal Medicine Physician in Indiana

Sources for this page

Verify at the official NPI Registry.