Fialkow, Jared A

Fialkow, Jared A is an individual health care provider with primary practice located at 100 Hospital Ln Suite 145, Danville IN 46122-1989. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Fialkow, Jared A can be contacted via phone (317) 718-2460.

Contact Information

Primary practice address
100 Hospital Ln Suite 145 Danville IN 46122-1989
Phone: (317) 718-2460
Fax: (317) 718-2465
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 02003054A Indiana
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 02003054 Indiana

Profile Details

NPI number 1619931037
LBN Legal business name Fialkow, Jared A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Mar 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619931037 NPPES
Indiana MEDICAID 200817050

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