Carrelli, Antonio
Carrelli, Antonio is an individual health care provider with primary practice located at 927 N Pennsylvania St , Indianapolis IN 46204-1020. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Carrelli, Antonio can be contacted via phone (317) 686-9779.Contact Information
Primary practice address
927 N Pennsylvania St
Indianapolis IN 46204-1020
Phone: (317) 686-9779
Fax: (317) 686-5810
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 103TA0400X | Indiana | |
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 01034546 | Indiana |
Profile Details
NPI number | 1144202292 |
---|---|
LBN Legal business name | Carrelli, Antonio |
Credentials | MD, MEDICAL DIRECTOR |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 15th, 2005 |
Last updated | Jan 7th, 2020 - about 4 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 | 1144202292 | NPPES |
Indiana | MEDICAID | 100106520 |
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