Whetzel, Jerry Warren
Whetzel, Jerry Warren is an individual health care provider with primary practice located at 430 W Votaw St , Portland IN 47371-1302. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Whetzel, Jerry Warren can be contacted via phone (260) 726-7616.Contact Information
Primary practice address
430 W Votaw St
Portland IN 47371-1302
Phone: (260) 726-7616
Fax: (260) 726-8165
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01051865 | Indiana |
Profile Details
| NPI number | 1215935705 |
|---|---|
| LBN Legal business name | Whetzel, Jerry Warren |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 8th, 2005 |
| Last updated | Apr 2nd, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215935705 | NPPES |
| Indiana | MEDICAID | 200249490 | |
| Indiana | Other | 000000308400 | |
| Indiana | Other | 8659 |
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