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

Primary practice address
2901 W Jackson St Muncie IN 47304-4307
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215935705 NPPES
Other 000000308400 ANTHEM
Other 8659 ANTHEM
MEDICAID 200249490 ANTHEM

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