| Doctor Name: | DR. JEAN N PERRIN |
| NPI Number: | 1205823143 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 01022840A |
| Business Practice Address: | 601 Stadium Mall Dr West Lafayette, IN - 479072052 |
| Business Phone Number: | 7654941700 |
| Business Fax Number: | 7654961227 |
| Mailing Address: | 601 Stadium Mall Dr, WEST LAFAYETTE |
| State: | IN |
| Postal Code: | 479072052 |
| Phone Number: | 7654941700 |
| Fax Number: | 7654961227 |
| NPI Enumeration Date: | 10/05/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 01022840A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |