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:
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Health care specialties

SpecialtyCodeLicense #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 last year

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 1275799140 NPPES
Indiana MEDICAID 300013128

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