| Jwm Neurology Pc | |
|
2330 S Dixon Rd Kokomo IN 46902-6411 | |
| (765) 455-8822 | |
| (765) 865-3935 |
| Full Name | Jwm Neurology Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 2330 S Dixon Rd, Kokomo, 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) 849-8350 | Jwm Neurology Pc 2330 S Dixon Rd Kokomo IN 46902-6411 Ph: (765) 455-8822 |
| NPI Number | 1396832556 |
|---|---|
| Provider Enumeration Date | 10/09/2006 |
| Last Update Date | 12/05/2023 |
| Certification Date | 12/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396832556 | NPI | - | NPPES |
| CJ9849 | Other | MEDICARE RR | |
| 100218760D | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (Indiana) | Primary |
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