Ambrose, Jayaseelan

Ambrose, Jayaseelan is an individual health care provider with primary practice located at 145 Hospital Ave Ste 113, Du Bois PA 15801-1463. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Ambrose, Jayaseelan can be contacted via phone (814) 375-3722.

Contact Information

Primary practice address
145 Hospital Ave Ste 113 Du Bois PA 15801-1463
Fax: (814) 375-3363
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD061321L Pennsylvania
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X MD061321L Pennsylvania

Profile Details

NPI number 1437155363
LBN Legal business name Ambrose, Jayaseelan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2005
Last updated Aug 5th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437155363 NPPES
Pennsylvania MEDICAID 01757982

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