| Jwm Neurology Pc | |
|
1030 E County Line Rd Ste B1 Indianapolis IN 46227-2933 | |
| (317) 746-6876 | |
| (317) 222-4931 |
| Full Name | Jwm Neurology Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 1030 E County Line Rd Ste B1, Indianapolis, Indiana |
| Authorized Official Name and Position | William D Earwood (CFO/CIO) |
| Authorized Official Contact | 3173082828 |
| 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) 849-8350 | Jwm Neurology Pc 1030 E County Line Rd Ste B1 Indianapolis IN 46227-2933 Ph: (317) 746-6876 |
| NPI Number | 1518462563 |
|---|---|
| Provider Enumeration Date | 03/29/2018 |
| Last Update Date | 12/05/2023 |
| Certification Date | 12/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518462563 | NPI | - | NPPES |
| 300012376 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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