Landrigan, Jennifer L

Landrigan, Jennifer L is an individual health care provider with primary practice located at 7910 W Jefferson Blvd Ste 201, Fort Wayne IN 46804-4159. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Landrigan, Jennifer L can be contacted via phone (260) 436-3789.

Contact Information

Primary practice address
7910 W Jefferson Blvd Ste 201 Fort Wayne IN 46804-4159
Phone: (260) 436-3789
Fax: (260) 436-2703
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01044734A Indiana

Profile Details

NPI number 1225032642
LBN Legal business name Landrigan, Jennifer L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Apr 22nd, 2008 - about 17 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 1225032642 NPPES
Indiana MEDICAID 200130020

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