Wilson, Jane Ellen
Wilson, Jane Ellen is an individual health care provider with primary practice located at 5550 S East St Ste.I, Indianapolis IN 46227-1979. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Wilson, Jane Ellen can be contacted via phone (317) 780-4080.Contact Information
Primary practice address
5550 S East St Ste.I
Indianapolis IN 46227-1979
Phone: (317) 780-4080
Fax: (317) 780-4088
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 01047151 | Indiana |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 01047151A | Indiana |
Profile Details
| NPI number | 1659375335 |
|---|---|
| LBN Legal business name | Wilson, Jane Ellen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2005 |
| Last updated | Feb 2nd, 2022 - about 3 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 | 1659375335 | NPPES |
| Indiana | Other | 000000507395 | ANTHEM |
| Indiana | MEDICAID | 200181770 | ANTHEM |
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