Provider Demographics
NPI:1588698435
Name:DOCTOR EMMANUEL SAINTJEAN, LLC
Entity type:Organization
Organization Name:DOCTOR EMMANUEL SAINTJEAN, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EMMANUEL
Authorized Official - Middle Name:H
Authorized Official - Last Name:SAINTJEAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:765-741-1411
Mailing Address - Street 1:3620 N EVERBROOK LN
Mailing Address - Street 2:SUITE F
Mailing Address - City:MUNCIE
Mailing Address - State:IN
Mailing Address - Zip Code:47304-5200
Mailing Address - Country:US
Mailing Address - Phone:765-741-1411
Mailing Address - Fax:765-741-1424
Practice Address - Street 1:2901 W JACKSON ST
Practice Address - Street 2:
Practice Address - City:MUNCIE
Practice Address - State:IN
Practice Address - Zip Code:47304-4307
Practice Address - Country:US
Practice Address - Phone:765-751-5010
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty