Page, Jennifer G.

Page, Jennifer G. is an individual health care provider with primary practice located at 1160 W Michigan St Ste 100 , Indianapolis IN 46202-5209. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Page, Jennifer G. can be contacted via phone (317) 278-1470.

Contact Information

Primary practice address
1160 W Michigan St Ste 100 Indianapolis IN 46202-5209
Phone: (317) 278-1470
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 18003184 Indiana

Profile Details

NPI number 1134198708
LBN Legal business name Page, Jennifer G.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Apr 28th, 2020 - about 4 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 1134198708 NPPES
Indiana MEDICAID 200415600

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