Individual
JACQUELINE D COMBELLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11700 N MERIDIAN ST, CARMEL, IN 46032-4656
(317) 688-3139
(317) 688-2664
Mailing address
250 N SHADELAND AVE, SUITE 130, INDIANAPOLIS, IN 46219-4959
(317) 963-0860
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01047186A
IN
208D00000X
General Practice Physician
Primary
01047186A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200158610
—
IN
Enumeration date
08/09/2006
Last updated
02/27/2025
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