Wu, Jennifer Lee

Wu, Jennifer Lee is an individual health care provider with primary practice located at 2401 W University Ave , Muncie IN 47303-3428. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is her primary health care specialty. Wu, Jennifer Lee can be contacted via phone (765) 751-2649.

Contact Information

Primary practice address
2401 W University Ave Muncie IN 47303-3428
Phone: (765) 751-2649
Fax: (765) 281-6671
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 01089697A Indiana

Profile Details

NPI number 1477016236
LBN Legal business name Wu, Jennifer Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2019
Last updated Nov 22nd, 2023 - about 3 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 1477016236 NPPES
Indiana Other M12240472 MEDICARE PTAN
Indiana MEDICAID 300077873 MEDICARE PTAN

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