Cadwallader, Jason Thomas

Cadwallader, Jason Thomas is an sole proprietor health care provider with primary practice located at 2240 E 53Rd St Ste B1 , Indianapolis IN 46220-3479. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Cadwallader, Jason Thomas can be contacted via phone (317) 933-7047.

Contact Information

Primary practice address
2240 E 53Rd St Ste B1 Indianapolis IN 46220-3479
Phone: (317) 933-7047
Fax: (317) 667-1574
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 11013833A Indiana
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01067114A Indiana

Profile Details

NPI number 1942467469
LBN Legal business name Cadwallader, Jason Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 21st, 2008
Last updated Apr 11th, 2023 - about 3 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 1942467469 NPPES
Indiana Other 000000685913 ANTHEM
Indiana MEDICAID 200980050 ANTHEM

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