Jasper, Nicholas Robert

Jasper, Nicholas Robert is an individual health care provider with primary practice located at 8450 Northwest Blvd , Indianapolis IN 46278-1381. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Jasper, Nicholas Robert can be contacted via phone (317) 802-2000.

Contact Information

Primary practice address
8450 Northwest Blvd Indianapolis IN 46278-1381
Phone: (317) 802-2000
Fax: (317) 802-2170
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 01070774A Indiana
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 01070774A Indiana

Profile Details

NPI number 1356535884
LBN Legal business name Jasper, Nicholas Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2007
Last updated May 8th, 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 1356535884 NPPES
Indiana MEDICAID 201075380

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