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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1720043193 | NPPES |
Indiana | Other | P01456968 | RR MEDICARE |
Indiana | MEDICAID | 200829510 | RR MEDICARE |
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