Provider Demographics
NPI:1063457083
Name:LOVINS, JEFFERY EARL (DPM)
Entity type:Individual
Prefix:MR
First Name:JEFFERY
Middle Name:EARL
Last Name:LOVINS
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:744 N STATE ST
Mailing Address - Street 2:
Mailing Address - City:GREENFIELD
Mailing Address - State:IN
Mailing Address - Zip Code:46140-1404
Mailing Address - Country:US
Mailing Address - Phone:317-462-1000
Mailing Address - Fax:317-462-5228
Practice Address - Street 1:744 N STATE ST
Practice Address - Street 2:
Practice Address - City:GREENFIELD
Practice Address - State:IN
Practice Address - Zip Code:46140-1404
Practice Address - Country:US
Practice Address - Phone:317-462-1000
Practice Address - Fax:317-462-5228
Is Sole Proprietor?:No
Enumeration Date:2006-06-17
Last Update Date:2007-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN070000787A213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100354660AMedicaid
IN100418670AOtherMEDICAID
IN225620AMedicare PIN
U45081Medicare UPIN