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Contact Information

CLAUDIA I VIDAL, MD
1200 S ROGERS ST
BLOOMINGTON, IN47403-4792
 Phone: 812-339-6434
 Fax: 812-331-0196
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatopathology

207ZD0900X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for CLAUDIA I VIDAL · (Female)

NPI # 1790944742
Status Active
Credentials MD
Entity Individual
Enumeration date 06/05/2008
Last updated 06/11/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01081633A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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