Tibesar, Eric E

Tibesar, Eric E is an individual health care provider with primary practice located at 8402 Harcourt Rd Ste 402 , Indianapolis IN 46260-2053. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Gastroenterology. Allopathic & Osteopathic Physicians / Pediatric Gastroenterology is his primary health care specialty. Tibesar, Eric E can be contacted via phone (317) 338-9450.

Contact Information

Primary practice address
8402 Harcourt Rd Ste 402 Indianapolis IN 46260-2053
Phone: (317) 338-9450
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01073701A Indiana
Allopathic & Osteopathic Physicians / Pediatrics 208000000X D0074772 Maryland
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 01073701A Indiana

Profile Details

NPI number 1659527786
LBN Legal business name Tibesar, Eric E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2008
Last updated May 23rd, 2022 - 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 1659527786 NPPES
Minnesota MEDICAID ENROLLED

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