Smith, Jodi L

Smith, Jodi L is an individual health care provider with primary practice located at 8402 Harcourt Rd Ste 830 , Indianapolis IN 46260-2096. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as her primary health care specialty. Smith, Jodi L can be contacted via phone (317) 396-1300.

Contact Information

Primary practice address
8402 Harcourt Rd Ste 830 Indianapolis IN 46260-2096
Phone: (317) 396-1300
Fax: (317) 396-1480
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 01052779A Indiana

Profile Details

NPI number 1518960004
LBN Legal business name Smith, Jodi L
Credentials MD, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated Mar 26th, 2021 - about 3 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 1518960004 NPPES
Indiana Other 0000640757 ANTHEM BLUE CROSS AND BLUE SHIELD

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