House, Jerry L

House, Jerry L is an individual health care provider with primary practice located at 9002 N Meridian St Suite 204, Indianapolis IN 46260-5350. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Otology & Neurotology. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. House, Jerry L can be contacted via phone (317) 848-9505.

Contact Information

Primary practice address
9002 N Meridian St Suite 204 Indianapolis IN 46260-5350
Phone: (317) 848-9505
Fax: (317) 848-3623
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 01025675A Indiana
Allopathic & Osteopathic Physicians / Otology & Neurotology 207YX0901X 01025675A Indiana

Profile Details

NPI number 1871688275
LBN Legal business name House, Jerry L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Jul 8th, 2007 - about 17 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 1871688275 NPPES
Indiana Other 000000078907 ANTHEM BS

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