Cabellon, Michele Colleen

Cabellon, Michele Colleen is an individual health care provider with primary practice located at 8803 N Meridian St Ste 175 , Indianapolis IN 46260-5310. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Cabellon, Michele Colleen can be contacted via phone (317) 962-6875.

Contact Information

Primary practice address
8803 N Meridian St Ste 175 Indianapolis IN 46260-5310
Fax: (317) 962-0000
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 2002012292 Missouri
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 01066926A Indiana

Profile Details

NPI number 1588680888
LBN Legal business name Cabellon, Michele Colleen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Dec 31st, 2020 - about 5 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 1588680888 NPPES
Indiana MEDICAID 200950800
Indiana MEDICAID 209387109

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