Jansen, Leo Dean

Jansen, Leo Dean is an sole proprietor health care provider with primary practice located at 2124 N Biomet Dr , Warsaw IN 46582-7858. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Jansen, Leo Dean can be contacted via phone (574) 267-2663.

Contact Information

Primary practice address
2124 N Biomet Dr Warsaw IN 46582-7858
Phone: (574) 267-2663
Fax: (574) 267-4408
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 01043641A Indiana

Profile Details

NPI number 1518943042
LBN Legal business name Jansen, Leo Dean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 16th, 2005
Last updated Oct 28th, 2009 - about 16 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 1518943042 NPPES
Indiana Other P00249879 RR MEDICARE
Indiana MEDICAID 200029900 RR MEDICARE

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