Hrisomalos, Nicholas Frank

Hrisomalos, Nicholas Frank is an individual health care provider with primary practice located at 10300 N Illinois St Suite1070, Indianapolis IN 46290-1167. He recently has only one registered license in Allopathic & Osteopathic Physicians / Retina Specialist, which is considered as his primary health care specialty. Hrisomalos, Nicholas Frank can be contacted via phone (317) 817-1500.

Contact Information

Primary practice address
10300 N Illinois St Suite1070 Indianapolis IN 46290-1167
Phone: (317) 817-1500
Fax: (317) 817-1511
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 01032013B Indiana

Profile Details

NPI number 1568452340
LBN Legal business name Hrisomalos, Nicholas Frank
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2005
Last updated Oct 17th, 2017 - about 9 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 1568452340 NPPES
Indiana Other IN1940 MEDICARE ID
Indiana MEDICAID 100228280 MEDICARE ID

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