Indovina, John Albert
Indovina, John Albert is an individual health care provider with primary practice located at 15225 Highway 43 Ste B-1 , Russellville AL 35653-1999. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Indovina, John Albert can be contacted via phone (256) 332-8658.Contact Information
Primary practice address
15225 Highway 43 Ste B-1
Russellville AL 35653-1999
Phone: (256) 332-8658
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD021449 | Louisiana |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD28281 | Alabama |
Profile Details
| NPI number | 1255420758 |
|---|---|
| LBN Legal business name | Indovina, John Albert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2006 |
| Last updated | Jul 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255420758 | NPPES |
| Louisiana | MEDICAID | 1987662 | |
| Louisiana | MEDICAID | 009913354 |
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