O'Donnell, Jacqueline A

O'Donnell, Jacqueline A is an individual health care provider with primary practice located at 1801 N Senate Blvd , Indianapolis IN 46202-1228. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Cardiovascular Disease is her primary health care specialty. O'Donnell, Jacqueline A can be contacted via phone (317) 962-0560.

Contact Information

Primary practice address
1801 N Senate Blvd Indianapolis IN 46202-1228
Phone: (317) 962-0560
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 01026329 Indiana
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 01026329A Indiana
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 01026329A Indiana

Profile Details

NPI number 1225093826
LBN Legal business name O'Donnell, Jacqueline A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2006
Last updated Apr 20th, 2011 - about 15 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 1225093826 NPPES
Indiana Other 060066278 RAILROAD MEDICARE
Indiana MEDICAID 100065910 RAILROAD MEDICARE

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