Adams, Jerry W

Adams, Jerry W is an sole proprietor health care provider with primary practice located at 3351 North Meridian Street Ste 202, Indianapolis IN 46208. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Adams, Jerry W can be contacted via phone (317) 926-8839.

Contact Information

Primary practice address
3351 North Meridian Street Ste 202 Indianapolis IN 46208
Phone: (317) 926-8839
Fax: (317) 926-8853
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 01028871 Indiana

Profile Details

NPI number 1417042714
LBN Legal business name Adams, Jerry W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2006
Last updated Jul 17th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417042714 NPPES
Indiana MEDICAID 100084010C

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