Provider Demographics
NPI:1740249663
Name:DURKIN, JANE E (DO)
Entity type:Individual
Prefix:
First Name:JANE
Middle Name:E
Last Name:DURKIN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:100 N ACADEMY AVE
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17822-4903
Mailing Address - Country:US
Mailing Address - Phone:570-271-6144
Mailing Address - Fax:570-271-6578
Practice Address - Street 1:16 CHURCH ST
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:PA
Practice Address - Zip Code:18612-1136
Practice Address - Country:US
Practice Address - Phone:570-675-2111
Practice Address - Fax:570-675-6545
Is Sole Proprietor?:No
Enumeration Date:2006-03-20
Last Update Date:2020-08-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOS006625L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2339592OtherAETNA (HMO)
PA2Y2106OtherHEALTHNET
PA4109937OtherAETNA (PPO)
PA597094OtherBLUE SHIELD
PA77147OtherMED PLUS
PA001196440-0006Medicaid
PA002456OtherFIRST PRIORTY
PA40005HOtherEPSDT
PA080165160OtherPALMETTO GBA/MC RAILROAD
PA54288OtherGEISINGER HEALTH PLAN
PA001196440-0006Medicaid