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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659375335 NPPES
Indiana Other 000000507395 ANTHEM
Indiana MEDICAID 200181770 ANTHEM

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