Provider Type Icon

JOSEPHSON WALLACK MUNSHOWER NEUROLOGY PC NPI 1669569729


NPI Information

NPI: 1669569729
Provider Name: JOSEPHSON WALLACK MUNSHOWER NEUROLOGY PC

Doing Business As: JWM NEUROLOGY PC

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

Specialization: Neurology

CLIA Number: 15D1084504

Address:
1203 HADLEY RD STE 202
MOORESVILLE, IN
ZIP 46158
Phone: (317) 859-1020
Get Directions

JOSEPHSON WALLACK MUNSHOWER NEUROLOGY PC is a neurology psychiatry neurology in Mooresville, 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 1669569729. 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:

1203 HADLEY RD STE 202
MOORESVILLE, IN
ZIP 46158-885
Phone: (317) 859-1020
Fax: (317) 859-4040

The provider's authorized official is William D Earwood .
The authorized official title is Cfo/cio and has the following contact phone number (317) 308-2828.

The CLIA number assigned to this NPI record is 15D1084504 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/9/2006 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084N0400XPsychiatry & NeurologyNeurologyINDIANAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1CJ9849OTHERMEDICARE RR
2100218760LMEDICAIDINDIANA

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.