De La Cruz, Priscilla M
De La Cruz, Priscilla M is an individual health care provider with primary practice located at 1120 W Michigan Street Gatch Hall Cl 285, Indianapolis IN 46202. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is her primary health care specialty. De La Cruz, Priscilla M can be contacted via phone (317) 278-0042.Contact Information
Primary practice address
1120 W Michigan Street Gatch Hall Cl 285
Indianapolis IN 46202
Phone: (317) 278-0042
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 01083580A | Indiana |
Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | MD2024-0300 | New Mexico |
Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 01083580A | Indiana |
Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | MD2024-0300 | New Mexico |
Profile Details
NPI number | 1366977357 |
---|---|
LBN Legal business name | De La Cruz, Priscilla M |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 27th, 2017 |
Last updated | Apr 26th, 2024 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1366977357 | NPPES |
Indiana | MEDICAID | 300037383 | |
Indiana | Other | 267030312 |
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