Whetzel, Jerry Warren
Whetzel, Jerry Warren is an individual health care provider with primary practice located at 2901 W Jackson St , Muncie IN 47304-4307. 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 (765) 751-5010.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01051865 | Indiana |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01051865A | 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 | Oct 8th, 2025 - about last year |
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 |
| Other | 000000308400 | ANTHEM | |
| Other | 8659 | ANTHEM | |
| MEDICAID | 200249490 | ANTHEM |
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