Ihlendorf, Jeffrey R

Ihlendorf, Jeffrey R is an individual health care provider with primary practice located at 1115 N Ronald Reagan Pkwy Suite 141, Avon IN 46123. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Ihlendorf, Jeffrey R can be contacted via phone (317) 948-3200.

Contact Information

Primary practice address
1115 N Ronald Reagan Pkwy Suite 141 Avon IN 46123
Phone: (317) 948-3200
Fax: (317) 217-2424
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01063183A Indiana
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01063183A Indiana

Profile Details

NPI number 1205848728
LBN Legal business name Ihlendorf, Jeffrey R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2006
Last updated Mar 11th, 2021 - about 3 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 1205848728 NPPES
Indiana MEDICAID 200856940

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