Defalco, Christopher Alan
Defalco, Christopher Alan is an individual health care provider with primary practice located at 1400 N Ritter Ave Ste 351 , Indianapolis IN 46219. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Defalco, Christopher Alan can be contacted via phone (317) 355-7375.Contact Information
Primary practice address
1400 N Ritter Ave Ste 351
Indianapolis IN 46219
Phone: (317) 355-7375
Fax: (317) 355-9215
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 01079933A | Indiana |
Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 01079933A | Indiana |
Profile Details
NPI number | 1306101092 |
---|---|
LBN Legal business name | Defalco, Christopher Alan |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 9th, 2012 |
Last updated | Jun 13th, 2023 - about 2 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 | 1306101092 | NPPES |
Indiana | MEDICAID | 300015839 |
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