Jose, Jefferson Abraham
Jose, Jefferson Abraham is an sole proprietor health care provider with primary practice located at 1040 Wishard Blvd , Indianapolis IN 46202-2872. He recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as his primary health care specialty. Jose, Jefferson Abraham can be contacted via phone (317) 278-1090.Contact Information
Primary practice address
1040 Wishard Blvd
Indianapolis IN 46202-2872
Phone: (317) 278-1090
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
| NPI number | 1750086559 |
|---|---|
| LBN Legal business name | Jose, Jefferson Abraham |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 3rd, 2023 |
| Last updated | Apr 3rd, 2023 - 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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