Diane Jordan-Wagner
Internist - Allergy & Immunology
1429 N 6th St
Terre Haute
, Indiana 47804-1037
Diane Jordan-Wagner
Internist - Allergy & Immunology
1429 N 6th St
Terre Haute
, Indiana 47804-1037
(812) 235-3330
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About
Features
Specialties
- Internist - Allergy & Immunology
Languages spoken
- English
Location
First Address
- Diane Jordan-Wagner
- 221 S 6th St
- Terre Haute, IN
- Zip : 47807-4214
- Fax : (812) 235-3330
- Phone : (812) 232-0564
Second Address
- Diane Jordan-Wagner
- 1429 N 6th St
- Terre Haute, IN
- Zip : 47804-1037
- Fax : (812) 235-3330
- Phone : (812) 232-0564
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FAQs
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Is Diane Jordan-Wagner a sole practitioner?
Is Diane Jordan-Wagner accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RA0201X | Internist - Allergy & Immunology | 01056292A | IN |
| N | 207RA0201X | Internist - Allergy & Immunology | 36106006 | IL |
National Provider Identifier
| NPI | 1013025097 |
|---|---|
| Provider Name | Diane Jordan-Wagner |
| First Address | Terre Haute, IN 47807-4214 |
| Second Address | Terre Haute, IN 47804-1037 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/08/2006 |
| Last Update Date | 14/03/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000230225 | ANTHEM (01) | |
| 030005377 | RAILROAD MCARE PALAMETTO (01) | |
| 200392780 | (05) | IN |
| 200392780Q | (05) | IN |
| H77028 | (02) | |
| P00844293 | RAILROAD MEDICARE (01) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.