Ortiz, Damaris
Ortiz, Damaris is an sole proprietor health care provider with primary practice located at 720 Eskenazi Ave. , Indianapolis IN 46202-5166. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Ortiz, Damaris can be contacted via phone (317) 880-0000.Contact Information
Primary practice address
720 Eskenazi Ave.
Indianapolis IN 46202-5166
Phone: (317) 880-0000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 125061812 | Illinois |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | R2695 | Texas |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 01082542A | Indiana |
Profile Details
| NPI number | 1184981011 |
|---|---|
| LBN Legal business name | Ortiz, Damaris |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 17th, 2012 |
| Last updated | Nov 30th, 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 | 1184981011 | NPPES |
| Indiana | MEDICAID | 300028143 | |
| Indiana | MEDICAID | 233690098 |
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