Patrick, Adam Jay

Patrick, Adam Jay is an individual health care provider with primary practice located at 1406 W Bella Dr , Marion IN 46953-5229. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Patrick, Adam Jay can be contacted via phone (765) 660-7720.

Contact Information

Primary practice address
1406 W Bella Dr Marion IN 46953-5229
Phone: (765) 660-7720
Fax: (765) 662-4493
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01068296A Indiana

Profile Details

NPI number 1679746127
LBN Legal business name Patrick, Adam Jay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2008
Last updated Oct 19th, 2020 - about 4 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 1679746127 NPPES
Indiana Other 000000933044 ANTHEM
Indiana MEDICAID 201016230 ANTHEM

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