Chan, Jana B
Chan, Jana B is an individual health care provider with primary practice located at 355 W 16Th Street Goodman Hall , Indianapolis IN 46202. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Chan, Jana B can be contacted via phone (317) 963-7328.Contact Information
Primary practice address
355 W 16Th Street Goodman Hall
Indianapolis IN 46202
Phone: (317) 963-7328
Fax: (317) 963-7313
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 20043084A | Indiana |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 20043084A | Indiana |
Profile Details
| NPI number | 1497273015 |
|---|---|
| LBN Legal business name | Chan, Jana B |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 4th, 2017 |
| Last updated | Mar 5th, 2025 - about last year |
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 | 1497273015 | NPPES |
| Indiana | Other | 000001115087 | ANTHEM PTAN |
| Indiana | MEDICAID | 300006445 | ANTHEM PTAN |
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