DOUGLAS J LADIKA, PA-C, Medical THORNTOWN, IN

Contact Information

DOUGLAS J LADIKA, PA-C

151 E BOW ST
THORNTOWN, IN 46071

Phone: 765-436-2400
Fax: 765-436-7375
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Medical	363AM0700X	97	Physician Assistant

Indicates primary specialty

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NPI Profile & details for DOUGLAS J LADIKA · (Male)

NPI #	`1104076769`
Status	Active
Credentials	PA-C (Physician Assistant-Certified)
Entity	Individual
Enumeration date	09/19/2008
Last updated	04/28/2021 - About 5 years ago
Sole proprietor ¹	No
Identifiers	IN License # 10000987A IN Medicaid 300004507
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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