Cardinal, Jon S
Cardinal, Jon S is an individual health care provider with primary practice located at 7979 N Shadeland Ave Ste 310 , Indianapolis IN 46250-2042. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Oncology. Allopathic & Osteopathic Physicians / Surgical Oncology is his primary health care specialty. Cardinal, Jon S can be contacted via phone (317) 621-3970.Contact Information
Primary practice address
7979 N Shadeland Ave Ste 310
Indianapolis IN 46250-2042
Phone: (317) 621-3970
Fax: (317) 621-3087
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 01080104A | Indiana |
Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD428571 | Pennsylvania |
Allopathic & Osteopathic Physicians / Surgical Oncology | 2086X0206X | 01080104A | Indiana |
Profile Details
NPI number | 1275799140 |
---|---|
LBN Legal business name | Cardinal, Jon S |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 31st, 2008 |
Last updated | Aug 10th, 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 | 1275799140 | NPPES |
Indiana | MEDICAID | 300013128 |
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