Camilleri, Jessica L

Camilleri, Jessica L is an individual health care provider with primary practice located at 705 Riley Hospital Dr Ri 3146, Indianapolis IN 46202-5109. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Rehabilitation Medicine, which is considered as her primary health care specialty. Camilleri, Jessica L can be contacted via phone (317) 944-2353.

Contact Information

Primary practice address
705 Riley Hospital Dr Ri 3146 Indianapolis IN 46202-5109
Phone: (317) 944-2353
Fax: (317) 944-2390
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Rehabilitation Medicine 2081P0010X 02004889 Indiana

Profile Details

NPI number 1679890925
LBN Legal business name Camilleri, Jessica L
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2010
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 1679890925 NPPES
Indiana MEDICAID 201159590

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