| Josephson Wallack Munshower Neurology Pc | |
|
2330 S Dixon Rd Ste 325 Kokomo IN 46902-6430 | |
| (317) 308-2800 | |
| (765) 865-3935 |
| Full Name | Josephson Wallack Munshower Neurology Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 2330 S Dixon Rd Ste 325, Kokomo, Indiana |
| Authorized Official Name and Position | Susan Mattox (CFO/CIO) |
| Authorized Official Contact | 3178498350 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Josephson Wallack Munshower Neurology Pc 6983 Hillsdale Ct Indianapolis IN 46250-2054 Ph: (317) 308-2800 | Josephson Wallack Munshower Neurology Pc 2330 S Dixon Rd Ste 325 Kokomo IN 46902-6430 Ph: (317) 308-2800 |
| NPI Number | 1396832556 |
|---|---|
| Provider Enumeration Date | 10/09/2006 |
| Last Update Date | 05/09/2025 |
| Certification Date | 05/09/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396832556 | NPI | - | NPPES |
| 100218760D | Medicaid | IN | |
| CJ9849 | Other | MEDICARE RR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (Indiana) | Primary |
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