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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639128127 NPPES
Indiana MEDICAID 200384130A

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