Jansen, James S

Jansen, James S is an individual health care provider with primary practice located at 230 S Main St , Kendallville IN 46755-1718. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Jansen, James S can be contacted via phone (260) 347-5115.

Contact Information

Primary practice address
230 S Main St Kendallville IN 46755-1718
Phone: (260) 347-5115
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 12007950 Indiana

Profile Details

NPI number 1407807738
LBN Legal business name Jansen, James S
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Sep 10th, 2008 - about 15 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 1407807738 NPPES
Indiana MEDICAID 100190860A

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