Delumpa, Vincent B

Delumpa, Vincent B is an sole proprietor health care provider with primary practice located at 8040 Clearvista Parkway Suite 490, Indianapolis IN 46256-4673. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Delumpa, Vincent B can be contacted via phone (317) 621-5450.

Contact Information

Primary practice address
8040 Clearvista Parkway Suite 490 Indianapolis IN 46256-4673
Phone: (317) 621-5450
Fax: (317) 621-5453
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 01044980 Indiana

Profile Details

NPI number 1932198298
LBN Legal business name Delumpa, Vincent B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2005
Last updated Nov 27th, 2023 - 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 1932198298 NPPES
Indiana Other P01347696 MEDICARE RR PTAN
Indiana Other 000000764307 MEDICARE RR PTAN
Indiana MEDICAID 200105790 MEDICARE RR PTAN
Indiana MEDICAID 200105790A MEDICARE RR PTAN

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