Ortiz, Juan Jose

Ortiz, Juan Jose is an individual health care provider with primary practice located at 207 Sparks Ave Ste 100 , Jeffersonville IN 47130-3739. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Ortiz, Juan Jose can be contacted via phone (812) 284-5411.

Contact Information

Primary practice address
207 Sparks Ave Ste 100 Jeffersonville IN 47130-3739
Phone: (812) 284-5411
Fax: (812) 284-0144
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01054884A Indiana
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 28206 Kentucky
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 01054884A Indiana

Profile Details

NPI number 1609863463
LBN Legal business name Ortiz, Juan Jose
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2005
Last updated Feb 16th, 2024 - about 9 months 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 1609863463 NPPES
Kentucky Other 28206 STATE LICENSE
Kentucky Other 01054884A STATE LICENSE
Kentucky MEDICAID 64282064 STATE LICENSE
Kentucky MEDICAID 200281160 STATE LICENSE

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