D'Ambrosio, Leo T

D'Ambrosio, Leo T is an individual health care provider with primary practice located at 8051 S Emerson Ave Ste 350 , Indianapolis IN 46237-8634. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. D'Ambrosio, Leo T can be contacted via phone (317) 859-1020.

Contact Information

Primary practice address
8051 S Emerson Ave Ste 350 Indianapolis IN 46237-8634
Phone: (317) 859-1020
Fax: (317) 859-4040
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 01034457A Indiana

Profile Details

NPI number 1255335949
LBN Legal business name D'Ambrosio, Leo T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Mar 22nd, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255335949 NPPES
Indiana MEDICAID 100129690
Indiana Other 000000089473

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