Hata, Jessica L
Hata, Jessica L is an individual health care provider with primary practice located at 550 University Blvd , Indianapolis IN 46202-5149. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Pediatric Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is her primary health care specialty. Hata, Jessica L can be contacted via phone (317) 491-6000.Contact Information
Primary practice address
550 University Blvd
Indianapolis IN 46202-5149
Phone: (317) 491-6000
Fax: (317) 491-6534
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 46784 | Kentucky |
| Allopathic & Osteopathic Physicians / Pediatric Pathology | 207ZP0213X | 46784 | Kentucky |
| Allopathic & Osteopathic Physicians / Pediatric Pathology | 207ZP0213X | 01090724A | Indiana |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 01090724A | Indiana |
Profile Details
| NPI number | 1770809410 |
|---|---|
| LBN Legal business name | Hata, Jessica L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 19th, 2010 |
| Last updated | Nov 22nd, 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 | 1770809410 | NPPES |
| Kentucky | Other | 50092843 | PASSPORT |
| Kentucky | MEDICAID | 7100369820 | PASSPORT |
| Kentucky | Other | 000000945301 | PASSPORT |
| Kentucky | Other | 068010918 | PASSPORT |
| Kentucky | MEDICAID | 201311310 | PASSPORT |
| Kentucky | MEDICAID | 201311310A | PASSPORT |
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