Bongiovanni, Josephine Anne
Bongiovanni, Josephine Anne is an individual health care provider with primary practice located at 13050 Parkside Dr Ste 101 , Fishers IN 46038-8247. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Bongiovanni, Josephine Anne can be contacted via phone (317) 621-2290.Contact Information
Primary practice address
13050 Parkside Dr Ste 101
Fishers IN 46038-8247
Phone: (317) 621-2290
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME71373 | Florida |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 01071755A | Indiana |
Profile Details
| NPI number | 1902878861 |
|---|---|
| LBN Legal business name | Bongiovanni, Josephine Anne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 6th, 2006 |
| Last updated | Aug 22nd, 2023 - about last year |
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 | 1902878861 | NPPES |
| Indiana | MEDICAID | 201111850 |
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