Combellick, Jacqueline D.
Combellick, Jacqueline D. is an individual health care provider with primary practice located at 11700 N Meridian St , Carmel IN 46032-4656. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Combellick, Jacqueline D. can be contacted via phone (317) 688-3139.Contact Information
Primary practice address
11700 N Meridian St
Carmel IN 46032-4656
Phone: (317) 688-3139
Fax: (317) 688-2664
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 01047186A | Indiana |
Profile Details
| NPI number | 1780694794 |
|---|---|
| LBN Legal business name | Combellick, Jacqueline D. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2006 |
| Last updated | Feb 4th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780694794 | NPPES |
| Indiana | MEDICAID | 200158610 |
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