Katzenellenbogen, Rachel A

Katzenellenbogen, Rachel A is an individual health care provider with primary practice located at 410 W 10Th St Ste 1001 , Indianapolis IN 46202-3011. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Katzenellenbogen, Rachel A can be contacted via phone (317) 274-8812.

Contact Information

Primary practice address
410 W 10Th St Ste 1001 Indianapolis IN 46202-3011
Phone: (317) 274-8812
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 01080870A Indiana

Profile Details

NPI number 1457308041
LBN Legal business name Katzenellenbogen, Rachel A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2006
Last updated Nov 24th, 2020 - about 5 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 1457308041 NPPES
Indiana MEDICAID 300016613

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