Holmes, Jordan Alexander

Holmes, Jordan Alexander is an individual health care provider with primary practice located at 535 Barnhill Dr Rt 041, Indianapolis IN 46202-5116. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Holmes, Jordan Alexander can be contacted via phone (317) 944-2524.

Contact Information

Primary practice address
535 Barnhill Dr Rt 041 Indianapolis IN 46202-5116
Phone: (317) 944-2524
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 01078019A Indiana

Profile Details

NPI number 1891054151
LBN Legal business name Holmes, Jordan Alexander
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2012
Last updated Sep 20th, 2022 - about 4 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 1891054151 NPPES
Indiana Other 719710011 MEDICARE
Indiana MEDICAID 300003530 MEDICARE

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