Gabrielsen, Ted Howard
Gabrielsen, Ted Howard is an individual health care provider with primary practice located at 1 Memorial Sq Suite 100, Greenfield IN 46140-2835. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Gabrielsen, Ted Howard can be contacted via phone (317) 462-3255.Contact Information
Primary practice address
1 Memorial Sq Suite 100
Greenfield IN 46140-2835
Phone: (317) 462-3255
Fax: (317) 477-6334
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 01019182 | Indiana |
Profile Details
| NPI number | 1205054228 |
|---|---|
| LBN Legal business name | Gabrielsen, Ted Howard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 23rd, 2007 |
| Last updated | Feb 28th, 2011 - about 13 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 | 1205054228 | NPPES |
| Indiana | MEDICAID | 100127360A |
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