Chan, Jana B

Chan, Jana B is an individual health care provider with primary practice located at 355 W 16Th Street Goodman Hall , Indianapolis IN 46202. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Chan, Jana B can be contacted via phone (317) 963-7328.

Contact Information

Primary practice address
355 W 16Th Street Goodman Hall Indianapolis IN 46202
Phone: (317) 963-7328
Fax: (317) 963-7313
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 20043084A Indiana
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 20043084A Indiana

Profile Details

NPI number 1497273015
LBN Legal business name Chan, Jana B
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 4th, 2017
Last updated May 1st, 2024 - about last year

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 1497273015 NPPES
Indiana MEDICAID 300006445
Indiana Other 262210031
Indiana Other 000001115087

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