Laster, Jerwana
Laster, Jerwana is an sole proprietor health care provider with primary practice located at 10935 Beechwood Dr E , Indianapolis IN 46280-1222. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as her primary health care specialty. Laster, Jerwana can be contacted via phone (317) 441-1093.Contact Information
Primary practice address
10935 Beechwood Dr E
Indianapolis IN 46280-1222
Phone: (317) 441-1093
Fax: (317) 669-2739
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | 07001149A | Indiana |
| Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | 794 | Tennessee |
Profile Details
| NPI number | 1528317518 |
|---|---|
| LBN Legal business name | Laster, Jerwana |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 5th, 2012 |
| Last updated | Oct 12th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528317518 | NPPES |
| Indiana | Other | 07001149B | IN LICENSE |
| Indiana | Other | 794 | IN LICENSE |
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