| Jwm Neurology Pc | |
|
12188a N Meridian St Ste 320 Carmel IN 46032-4407 | |
| (317) 580-0420 | |
| (317) 580-0451 |
| Full Name | Jwm Neurology Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 12188a N Meridian St Ste 320, Carmel, Indiana |
| Authorized Official Name and Position | William Earwood (CFO/CIO) |
| Authorized Official Contact | 3178498350 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jwm Neurology Pc 6983 Hillsdale Ct Indianapolis IN 46250-2054 Ph: (317) 308-2828 | Jwm Neurology Pc 12188a N Meridian St Ste 320 Carmel IN 46032-4407 Ph: (317) 580-0420 |
| NPI Number | 1477612018 |
|---|---|
| Provider Enumeration Date | 12/08/2006 |
| Last Update Date | 12/05/2023 |
| Certification Date | 12/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477612018 | NPI | - | NPPES |
| CJ9849 | Other | MEDICARE RR | |
| 100218760K | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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