Pease, Jill C

Pease, Jill C is an individual health care provider with primary practice located at 3554 Promenade Pkwy Suite H, Lafayette IN 47909-8417. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Pease, Jill C can be contacted via phone (765) 471-1100.

Contact Information

Primary practice address
3554 Promenade Pkwy Suite H Lafayette IN 47909-8417
Phone: (765) 471-1100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10000824A Indiana

Profile Details

NPI number 1619951126
LBN Legal business name Pease, Jill C
Credentials PHYSICIAN ASSISTANT
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated Jun 16th, 2015 - about 10 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 1619951126 NPPES
Indiana Other 000000540149 ANTHEM PROVIDER NUMBER

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