Bourdillon, Patrick D

Bourdillon, Patrick D is an individual health care provider with primary practice located at 1801 N Senate Blvd E400, Indianapolis IN 46202-1228. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Bourdillon, Patrick D can be contacted via phone (317) 962-0096.

Contact Information

Primary practice address
1801 N Senate Blvd E400 Indianapolis IN 46202-1228
Phone: (317) 962-0096
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 01035227 Indiana
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 01035227A Indiana
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 01035227A Indiana

Profile Details

NPI number 1104881887
LBN Legal business name Bourdillon, Patrick D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2006
Last updated Feb 5th, 2013 - about 11 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 1104881887 NPPES
Indiana MEDICAID 100259720

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