Cacioppo, Jason R

Cacioppo, Jason R is an individual health care provider with primary practice located at 1550 E County Line Rd Suite 320, Indianapolis IN 46227-1000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Cacioppo, Jason R can be contacted via phone (317) 497-6155.

Contact Information

Primary practice address
1550 E County Line Rd Suite 320 Indianapolis IN 46227-1000
Phone: (317) 497-6155
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 01061643A Indiana

Profile Details

NPI number 1720043193
LBN Legal business name Cacioppo, Jason R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Nov 27th, 2023 - about 2 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 1720043193 NPPES
Indiana Other P01456968 RR MEDICARE
Indiana MEDICAID 200829510 RR MEDICARE

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