Provider Demographics
NPI:1407883754
Name:BIDDLE, JENNIFER D (CST/CFA)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:D
Last Name:BIDDLE
Suffix:
Gender:F
Credentials:CST/CFA
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:D
Other - Last Name:BLAU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1801 SENATE BLVD
Mailing Address - Street 2:# 200
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46202-1228
Mailing Address - Country:US
Mailing Address - Phone:317-802-2000
Mailing Address - Fax:317-924-0115
Practice Address - Street 1:1801 SENATE BLVD
Practice Address - Street 2:# 200
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-1228
Practice Address - Country:US
Practice Address - Phone:317-802-2000
Practice Address - Fax:317-924-0115
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2008-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist