Prendergast, Janet S.
Prendergast, Janet S. is an individual health care provider with primary practice located at 1270 E State Road 205 Ste 210 Suite 210, Columbia City IN 46725-8506. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Prendergast, Janet S. can be contacted via phone (260) 248-9230.Contact Information
Primary practice address
1270 E State Road 205 Ste 210 Suite 210
Columbia City IN 46725-8506
Phone: (260) 248-9230
Fax: (260) 248-9249
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 02002526A | Indiana |
Profile Details
| NPI number | 1306823885 |
|---|---|
| LBN Legal business name | Prendergast, Janet S. |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 27th, 2005 |
| Last updated | Oct 17th, 2022 - about 4 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 | 1306823885 | NPPES |
| Indiana | Other | 000000570549 | ANTHEM |
| Indiana | MEDICAID | 200410430 | ANTHEM |
| Indiana | Other | 3937240025 | ANTHEM |
| Indiana | Other | 13459 | ANTHEM |
| Indiana | Other | 7658349 | ANTHEM |
| Indiana | Other | 000000231124 | ANTHEM |
| Indiana | Other | 080191000 | ANTHEM |
| Indiana | Other | 3937240002 | ANTHEM |
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