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Contact Information

JANE E WILSON, MD
5550 S EAST ST
STE.I
INDIANAPOLIS, IN46227-1979
 Phone: 317-780-4080
 Fax: 317-780-4088
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for JANE E WILSON · (Female)

NPI # 1659375335
Status Active
Credentials MD
Entity Individual
Enumeration date 06/09/2005
Last updated 02/02/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01047151
  • IN License # 01047151A
  • IN Medicaid 200181770
  • IN Other 000000507395 ANTHEM
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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