Schwartzentruber, Douglas J

Schwartzentruber, Douglas J is an individual health care provider with primary practice located at 535 Barnhill Dr Rt 252, Indianapolis IN 46202-5116. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgical Oncology. Allopathic & Osteopathic Physicians / Surgical Oncology is his primary health care specialty. Schwartzentruber, Douglas J can be contacted via phone (317) 944-0301.

Contact Information

Primary practice address
535 Barnhill Dr Rt 252 Indianapolis IN 46202-5116
Phone: (317) 944-0301
Fax: (317) 278-6523
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 01031937 Indiana
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X 01031937A Indiana

Profile Details

NPI number 1962482406
LBN Legal business name Schwartzentruber, Douglas J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Jul 9th, 2014 - about 12 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 1962482406 NPPES
Indiana MEDICAID 200456350
Indiana Other 000000720155

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