Wakefield, James G

Wakefield, James G is an individual health care provider with primary practice located at 716 S College Ave , Rensselaer IN 47978-3083. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Wakefield, James G can be contacted via phone (219) 866-0485.

Contact Information

Primary practice address
716 S College Ave Rensselaer IN 47978-3083
Phone: (219) 866-0485
Fax: (219) 866-0837
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01060733A Indiana
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 01060733A Indiana

Profile Details

NPI number 1801882345
LBN Legal business name Wakefield, James G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Nov 13th, 2013 - about 13 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 1801882345 NPPES
Indiana MEDICAID 200523870A
Indiana MEDICAID 200523870
Indiana Other P00303729

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