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
Phone: (814) 375-3722
Fax: (814) 375-3363
Website:
Health care specialties
| Specialty | Code | License # | 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 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437155363 | NPPES |
| Pennsylvania | MEDICAID | 01757982 |
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