Jiang, Wendong
Jiang, Wendong is an individual health care provider with primary practice located at 1800 N Capitol Ave Np E-140, Indianapolis IN 46202-1218. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Jiang, Wendong can be contacted via phone (317) 962-2894.Contact Information
Primary practice address
1800 N Capitol Ave Np E-140
Indianapolis IN 46202-1218
Phone: (317) 962-2894
Fax: (317) 963-5285
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 10000481A | Indiana |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 10000481A | Indiana |
Profile Details
| NPI number | 1528012796 |
|---|---|
| LBN Legal business name | Jiang, Wendong |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 20th, 2006 |
| Last updated | Apr 3rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528012796 | NPPES |
| Indiana | MEDICAID | 200856130 | |
| Indiana | Other | 000000506740 | |
| Indiana | Other | DF5450 |
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