Blythe, Jerry Edward

Blythe, Jerry Edward is an sole proprietor health care provider with primary practice located at 8045 Broadway St , Indianapolis IN 46240-2502. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Blythe, Jerry Edward can be contacted via phone (317) 251-4488.

Contact Information

Primary practice address
8045 Broadway St Indianapolis IN 46240-2502
Phone: (317) 251-4488
Fax: (317) 251-9910
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 01024432A Indiana

Profile Details

NPI number 1558551382
LBN Legal business name Blythe, Jerry Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 27th, 2007
Last updated Jul 27th, 2007 - about 17 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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