Mandelbaum, Jonathan A
Mandelbaum, Jonathan A is an individual health care provider with primary practice located at 5255 E Stop 11 Rd Ste 450 , Indianapolis IN 46237-6342. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Mandelbaum, Jonathan A can be contacted via phone (317) 865-4800.Contact Information
Primary practice address
5255 E Stop 11 Rd Ste 450
Indianapolis IN 46237-6342
Phone: (317) 865-4800
Fax: (317) 865-4806
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 01033791A | Indiana |
Profile Details
| NPI number | 1437123437 |
|---|---|
| LBN Legal business name | Mandelbaum, Jonathan A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 15th, 2006 |
| Last updated | Feb 27th, 2023 - about last year |
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 | 1437123437 | NPPES |
| Indiana | MEDICAID | 100129080A | |
| Indiana | Other | 100003568 |
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