Baney, Jill A.

Baney, Jill A. is an individual health care provider with primary practice located at 7916 W Jefferson Blvd , Fort Wayne IN 46804-4140. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Baney, Jill A. can be contacted via phone (260) 432-2297.

Contact Information

Primary practice address
7916 W Jefferson Blvd Fort Wayne IN 46804-4140
Phone: (260) 432-2297
Fax: (260) 434-6433
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71000588A Indiana

Profile Details

NPI number 1467429068
LBN Legal business name Baney, Jill A.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2006
Last updated Dec 18th, 2016 - about 8 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 1467429068 NPPES
Ohio MEDICAID 2454320
Ohio Other 500016208
Ohio MEDICAID 200321220
Ohio Other 000000289311

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