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JACOB EITEL M.D. NPI 1023351608


NPI Information

NPI: 1023351608
Provider Name: JACOB EITEL, M.D.
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Organization: HENDRICKS COUNTY RADIOLOGY INC

PECOS Registration: Yes

Address:
1633 N CAPITOL AVE
METHODIST MEDICAL TOWER, STE 640
INDIANAPOLIS, IN
ZIP 46202
Phone: (317) 962-8881
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Jacob Eitel, M.D. is a student in an organized health care education training program in Indianapolis, IN with 11 years of experience. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Jacob Eitel, M.D. NPI is 1023351608. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: INDIANA MEDICAL COLLEGE, SCHOOL OF MEDICINE OF PURDUE UNIVERSITY
Graduation Year:2013

The provider's business location address is:

1633 N CAPITOL AVE
METHODIST MEDICAL TOWER, STE 640
INDIANAPOLIS, IN
ZIP 46202-261
Phone: (317) 962-8881
Fax: (317) 962-0838

The NPI 1023351608 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/1/2013 and was last updated on 4/10/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1390200000XStudent in an Organized Health Care Education/Training ProgramYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.