Hendrick, Jason Paul

Hendrick, Jason Paul is an individual health care provider with primary practice located at 2800 Ferry St , Lafayette IN 47904. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hendrick, Jason Paul can be contacted via phone (765) 448-8000.

Contact Information

Primary practice address
2800 Ferry St Lafayette IN 47904
Phone: (765) 448-8000
Fax: (765) 447-9749
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01048930A Indiana

Profile Details

NPI number 1710956024
LBN Legal business name Hendrick, Jason Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Jan 13th, 2021 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1710956024 NPPES
Indiana Other 9397123 PHCS PID NUMBER
Indiana Other 000000190918 PHCS PID NUMBER
Indiana Other 10825254 PHCS PID NUMBER
Indiana MEDICAID 200283760 PHCS PID NUMBER

Popular Providers