Fridell, Jonathan Aaron
Fridell, Jonathan Aaron is an individual health care provider with primary practice located at 550 University Blvd , Indianapolis IN 46202-5149. He recently has only one registered license in Allopathic & Osteopathic Physicians / Transplant Surgery, which is considered as his primary health care specialty. Fridell, Jonathan Aaron can be contacted via phone (317) 274-4370.Contact Information
Primary practice address
550 University Blvd
Indianapolis IN 46202-5149
Phone: (317) 274-4370
Fax: (317) 278-3268
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Transplant Surgery | 204F00000X | 01056178A | Indiana |
Profile Details
NPI number | 1639128127 |
---|---|
LBN Legal business name | Fridell, Jonathan Aaron |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 10th, 2006 |
Last updated | Mar 11th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1639128127 | NPPES |
Indiana | MEDICAID | 200384130A |
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