Indyk, Justin A
Indyk, Justin A is an sole proprietor health care provider with primary practice located at 380 Butterfly Gardens Dr , Columbus OH 43215-7508. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Endocrinology, which is considered as his primary health care specialty. Indyk, Justin A can be contacted via phone (614) 722-2600.Contact Information
Primary practice address
380 Butterfly Gardens Dr
Columbus OH 43215-7508
Phone: (614) 722-2600
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatric Endocrinology | 2080P0205X | 35095558 | Ohio |
Profile Details
NPI number | 1730399023 |
---|---|
LBN Legal business name | Indyk, Justin A |
Credentials | MD, PHD |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 23rd, 2007 |
Last updated | Feb 17th, 2022 - 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 | 1730399023 | NPPES |
Ohio | MEDICAID | 3053949 | |
Ohio | Other | H650800 |
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