Hrisomalos, Nicholas Frank
Hrisomalos, Nicholas Frank is an individual health care provider with primary practice located at 10300 N Illinois St Suite1070, Indianapolis IN 46290-1167. He recently has only one registered license in Allopathic & Osteopathic Physicians / Retina Specialist, which is considered as his primary health care specialty. Hrisomalos, Nicholas Frank can be contacted via phone (317) 817-1500.Contact Information
Primary practice address
10300 N Illinois St Suite1070
Indianapolis IN 46290-1167
Phone: (317) 817-1500
Fax: (317) 817-1511
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | 01032013B | Indiana |
Profile Details
| NPI number | 1568452340 |
|---|---|
| LBN Legal business name | Hrisomalos, Nicholas Frank |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 24th, 2005 |
| Last updated | Oct 17th, 2017 - about 8 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 | 1568452340 | NPPES |
| Indiana | Other | IN1940 | MEDICARE ID |
| Indiana | MEDICAID | 100228280 | MEDICARE ID |
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