Jiang, Wendong

Jiang, Wendong is an individual health care provider with primary practice located at 1800 N Capitol Ave Np E-140, Indianapolis IN 46202-1218. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Jiang, Wendong can be contacted via phone (317) 962-2894.

Contact Information

Primary practice address
1800 N Capitol Ave Np E-140 Indianapolis IN 46202-1218
Phone: (317) 962-2894
Fax: (317) 963-5285
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 10000481A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10000481A Indiana

Profile Details

NPI number 1528012796
LBN Legal business name Jiang, Wendong
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Apr 3rd, 2024 - about 7 months 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 1528012796 NPPES
Indiana MEDICAID 200856130
Indiana Other 000000506740
Indiana Other DF5450

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