Amodeo, Jeffrey L

Amodeo, Jeffrey L is an individual health care provider with primary practice located at 2200 John R Wooden Dr , Martinsville IN 46151-1863. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Amodeo, Jeffrey L can be contacted via phone (765) 342-5415.

Contact Information

Primary practice address
2200 John R Wooden Dr Martinsville IN 46151-1863
Phone: (765) 342-5415
Fax: (765) 342-3415
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 234562 New York
Allopathic & Osteopathic Physicians / Surgery 208600000X 01068850A Indiana

Profile Details

NPI number 1346239571
LBN Legal business name Amodeo, Jeffrey L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2005
Last updated Apr 5th, 2012 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1346239571 NPPES
New York MEDICAID 02656499
New York Other 1712914
New York Other 01068850A
New York Other 164405FL
New York Other 050802000019
New York Other 000528151001
New York Other 00027200501

Popular Providers