Spaulding, Jeremy Patrick

Spaulding, Jeremy Patrick is an individual health care provider with primary practice located at 8128 E Washington St , Indianapolis IN 46219-6814. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Spaulding, Jeremy Patrick can be contacted via phone (317) 898-7117.

Contact Information

Primary practice address
8128 E Washington St Indianapolis IN 46219-6814
Phone: (317) 898-7117
Fax: (317) 897-2681
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 07001115A Indiana
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 07001115A Indiana

Profile Details

NPI number 1093988263
LBN Legal business name Spaulding, Jeremy Patrick
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2008
Last updated Apr 15th, 2013 - about 11 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 1093988263 NPPES
Indiana MEDICAID 201012250

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