Strader, Jane Wiseman

Strader, Jane Wiseman is an individual health care provider with primary practice located at 1109 Bellefonte Rd , Flatwoods KY 41139-2503. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Strader, Jane Wiseman can be contacted via phone (606) 836-8086.

Contact Information

Primary practice address
1109 Bellefonte Rd Flatwoods KY 41139-2503
Phone: (606) 836-8086
Fax: (606) 836-3743
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35096112 Ohio
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 43728 Kentucky

Profile Details

NPI number 1629272901
LBN Legal business name Strader, Jane Wiseman
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2007
Last updated Dec 2nd, 2014 - about 12 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 1629272901 NPPES
Ohio MEDICAID 3083292
Ohio MEDICAID 7100132920

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