Jewell, James Robert

Jewell, James Robert is an sole proprietor health care provider with primary practice located at 4001 Kresge Way 236, Louisville KY 40207-4640. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Jewell, James Robert can be contacted via phone (502) 895-6588.

Contact Information

Primary practice address
4001 Kresge Way 236 Louisville KY 40207-4640
Phone: (502) 895-6588
Fax: (502) 893-6587
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 20325 Kentucky

Profile Details

NPI number 1760405443
LBN Legal business name Jewell, James Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 25th, 2006
Last updated Jul 8th, 2007 - about 18 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 1760405443 NPPES
Kentucky MEDICAID 64203250

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