Individual
JANIS C INGEBRIGTSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1530 N 7TH ST, SUITE 110, TERRE HAUTE, IN 47807-1057
(812) 238-7878
Mailing address
PO BOX 2505, INDIANAPOLIS, IN 46206-2505
(812) 238-7783
(812) 238-4506
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01041582
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080122269
RR MEDICARE
IN
05
—
200124870
—
IN
Enumeration date
11/02/2005
Last updated
10/18/2010
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