Debosch, Brian Jesse

Debosch, Brian Jesse is an individual health care provider with primary practice located at 705 Riley Hospital Dr # 4210 , Indianapolis IN 46202-5109. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as his primary health care specialty. Debosch, Brian Jesse can be contacted via phone (317) 944-3774.

Contact Information

Primary practice address
705 Riley Hospital Dr # 4210 Indianapolis IN 46202-5109
Fax: (317) 944-8521
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 01093545A Indiana

Profile Details

NPI number 1578710638
LBN Legal business name Debosch, Brian Jesse
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2008
Last updated Jul 2nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578710638 NPPES
Indiana MEDICAID 30009207

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