Individual
NOEL L JANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1815 N CAPITOL AVE, STE 405, INDIANAPOLIS, IN 46202-1465
(317) 925-3533
(317) 924-5624
Mailing address
1815 N CAPITOL AVE, STE 405, INDIANAPOLIS, IN 46202-1465
(317) 925-3533
(317) 924-5624
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000082148
ANTHEM PROVIDER NUMBER
IN
Enumeration date
05/23/2005
Last updated
07/09/2007
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