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JOSEPHSON WALLACK MUNSHOWER NEUROLOGY PC NPI 1477612018


NPI Information

NPI: 1477612018
Provider Name: JOSEPHSON WALLACK MUNSHOWER NEUROLOGY PC

Doing Business As: JWM NEUROLOGY PC

Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
12188A N MERIDIAN ST STE 320
CARMEL, IN
ZIP 46032
Phone: (317) 580-0420
Get Directions

JOSEPHSON WALLACK MUNSHOWER NEUROLOGY PC is a neurology psychiatry neurology in Carmel, IN. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. JOSEPHSON WALLACK MUNSHOWER NEUROLOGY PC NPI is 1477612018. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Jwm Neurology Pc.

The provider's business location address is:

12188A N MERIDIAN ST STE 320
CARMEL, IN
ZIP 46032-407
Phone: (317) 580-0420
Fax: (317) 580-0451

The provider's authorized official is William Earwood .
The authorized official title is Cfo/cio and has the following contact phone number (317) 849-8350.

The enumeration date for this NPI number is 12/8/2006 and was last updated on 12/5/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0400XPsychiatry & NeurologyNeurologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CJ9849OTHERMEDICARE RR
2100218760KMEDICAIDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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