Jansen, Jon J

Jansen, Jon J is an individual health care provider with primary practice located at 8040 Clearvista Pkwy #240, Indianapolis IN 46256-5630. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Jansen, Jon J can be contacted via phone (317) 621-5450.

Contact Information

Primary practice address
8040 Clearvista Pkwy #240 Indianapolis IN 46256-5630
Phone: (317) 621-5450
Fax: (317) 621-5453
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 01042313 Indiana

Profile Details

NPI number 1497752844
LBN Legal business name Jansen, Jon J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Nov 27th, 2023 - about 2 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 1497752844 NPPES
Indiana Other 000000085876 ANTHEM
Indiana Other 000000764306 ANTHEM
Indiana Other P01157045 ANTHEM
Indiana Other 020024683 ANTHEM
Indiana MEDICAID 100421600 ANTHEM
Indiana MEDICAID 100421600A ANTHEM

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