Jinnette, Cody Mitchel
Jinnette, Cody Mitchel is an sole proprietor health care provider with primary practice located at 1120 W Michigan St # Cl630 , Indianapolis IN 46202-5209. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Jinnette, Cody Mitchel can be contacted via phone (317) 278-2689.Contact Information
Primary practice address
1120 W Michigan St # Cl630
Indianapolis IN 46202-5209
Phone: (317) 278-2689
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 02006968A | Indiana |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 02006968A | Indiana |
Profile Details
| NPI number | 1083177455 |
|---|---|
| LBN Legal business name | Jinnette, Cody Mitchel |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 11th, 2019 |
| Last updated | May 9th, 2025 - about last year |
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 | 1083177455 | NPPES |
| Indiana | Other | 1104197523 | ANTHEM PTAN |
| Indiana | MEDICAID | 300092620 | ANTHEM PTAN |
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