Lane, Carolyn Jo

Lane, Carolyn Jo is an individual health care provider with primary practice located at 441 N Wabash Ave , Marion IN 46952-2612. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Lane, Carolyn Jo can be contacted via phone (765) 660-6411.

Contact Information

Primary practice address
441 N Wabash Ave Marion IN 46952-2612
Phone: (765) 660-6411
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71002663A Indiana

Profile Details

NPI number 1497911051
LBN Legal business name Lane, Carolyn Jo
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2008
Last updated Aug 1st, 2013 - about 12 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 1497911051 NPPES
Other 000000579524 ANTHEM
MEDICAID 200916820 ANTHEM

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