Individual
DR. OLEGARIO J IGNACIO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1035 WALL ST, SUITE 207, JEFFERSONVILLE, IN 47130-3612
(812) 282-1351
(812) 283-5758
Mailing address
1035 WALL ST, STE 207, JEFFERSONVILLE, IN 47130-3612
(812) 282-1351
(812) 283-5758
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
26117
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000042379
ANTHEM/BLUE CROSS
IN
05
—
100074770A
—
IN
01
—
130005449
MEDICARE RAILROAD
IN
Enumeration date
09/19/2005
Last updated
04/30/2008
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