Jenkins, Nicholas Paige

Jenkins, Nicholas Paige is an sole proprietor health care provider with primary practice located at 12851 Broad St Ste 100 , Carmel IN 46032-7445. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Jenkins, Nicholas Paige can be contacted via phone (463) 220-3486.

Contact Information

Primary practice address
12851 Broad St Ste 100 Carmel IN 46032-7445
Fax: (317) 449-8632
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01066864A Indiana
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01066864A Indiana

Profile Details

NPI number 1114128972
LBN Legal business name Jenkins, Nicholas Paige
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 30th, 2007
Last updated May 28th, 2024 - about 2 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 1114128972 NPPES
Indiana MEDICAID 200953650

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