Adams, Jody

Adams, Jody is an individual health care provider with primary practice located at 1205 S Main St Suite 301, Crown Point IN 46307. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Adams, Jody can be contacted via phone (800) 860-8100.

Contact Information

Primary practice address
1205 S Main St Suite 301 Crown Point IN 46307
Fax: (219) 661-0448
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 71000524A Indiana

Profile Details

NPI number 1275500522
LBN Legal business name Adams, Jody
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2006
Last updated Aug 15th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275500522 NPPES
Indiana Other 000000727149 ANTHEM
Indiana MEDICAID 200326670 ANTHEM

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