Bigelow, Jennifer Irene Wakeland

Bigelow, Jennifer Irene Wakeland is an sole proprietor health care provider with primary practice located at 461 Town Center Road , Mooresville IN 46158. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Bigelow, Jennifer Irene Wakeland can be contacted via phone (317) 567-7954.

Contact Information

Primary practice address
461 Town Center Road Mooresville IN 46158
Phone: (317) 567-7954
Fax: (317) 834-9399
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01050867A Indiana

Profile Details

NPI number 1750363123
LBN Legal business name Bigelow, Jennifer Irene Wakeland
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 18th, 2005
Last updated Jun 24th, 2014 - about 10 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 1750363123 NPPES
Indiana MEDICAID 200198850

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