Eleftheri, Jill M

Eleftheri, Jill M is an individual health care provider with primary practice located at 8040 Clearvista Pkwy Ste 240 , Indianapolis IN 46256-4673. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Eleftheri, Jill M can be contacted via phone (317) 621-0100.

Contact Information

Primary practice address
8040 Clearvista Pkwy Ste 240 Indianapolis IN 46256-4673
Phone: (317) 621-0100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10000658A Indiana

Profile Details

NPI number 1467431643
LBN Legal business name Eleftheri, Jill M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2006
Last updated Aug 29th, 2024 - about 2 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 1467431643 NPPES
Indiana Other P01152227 RAILROAD MEDICARE
Indiana Other 000000691734 RAILROAD MEDICARE
Indiana MEDICAID 300005113 RAILROAD MEDICARE
Indiana Other 000000763624 RAILROAD MEDICARE

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