Wallick, Janine Elise

Wallick, Janine Elise is an individual health care provider with primary practice located at 533 E County Line Rd Suite 201, Greenwood IN 46143-1073. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Wallick, Janine Elise can be contacted via phone (317) 706-7246.

Contact Information

Primary practice address
533 E County Line Rd Suite 201 Greenwood IN 46143-1073
Phone: (317) 706-7246
Fax: (317) 706-3417
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 71001045A Indiana

Profile Details

NPI number 1669578548
LBN Legal business name Wallick, Janine Elise
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2006
Last updated Sep 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669578548 NPPES
Indiana MEDICAID 200368100

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