Jain, Sushil K.

Jain, Sushil K. is an individual health care provider with primary practice located at 7900 W Jefferson Blvd Suite 201, Fort Wayne IN 46804-4128. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Jain, Sushil K. can be contacted via phone (260) 432-2297.

Contact Information

Primary practice address
7900 W Jefferson Blvd Suite 201 Fort Wayne IN 46804-4128
Phone: (260) 432-2297
Fax: (260) 969-7266
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 01051909A Indiana

Profile Details

NPI number 1649247057
LBN Legal business name Jain, Sushil K.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2006
Last updated Sep 29th, 2020 - about 4 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 1649247057 NPPES
Ohio MEDICAID 2187860
Ohio Other 000000110957
Ohio MEDICAID 200271250

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