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Search › Indiana › 183500000X

Matthew Jerrell

NPI 1083384093 · on the registry since 2021

Practice

Address
1618 W Mcclain Ave
Scottsburg, IN 47170
Phone
(812) 752-5589
Organisation at this address
Wal-Mart Stores East Lp
Wal-Mart Stores East, Lp
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-09-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana