Ingebrigtsen, Janis C
Ingebrigtsen, Janis C is an individual health care provider with primary practice located at 1530 N 7Th St Suite 110, Terre Haute IN 47807-1057. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Ingebrigtsen, Janis C can be contacted via phone (812) 238-7878.Contact Information
Primary practice address
1530 N 7Th St Suite 110
Terre Haute IN 47807-1057
Phone: (812) 238-7878
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01041582 | Indiana |
Profile Details
| NPI number | 1609867357 |
|---|---|
| LBN Legal business name | Ingebrigtsen, Janis C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | Oct 18th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609867357 | NPPES |
| Indiana | Other | 080122269 | RR MEDICARE |
| Indiana | MEDICAID | 200124870 | RR MEDICARE |
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