MEDICARE: JAMIE K DEWIG

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian	86254106

General Provider Information

NPI Number	:	1225987530
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMIE K DEWIG

Provider Business Mailing Address
First Line	:	100 N WEBER DR
Second Line	:
City	:	HAUBSTADT
State	:	IN
Zip	:	47639-8129
Country	:	US
Telephone Number	:	317-712-1234
Fax Number	:

Provider Business Practice Location Address
First Line	:	9016 ASHFORD CASTLE DR APT 532
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46250-5621
Country	:	US
Telephone Number	:	317-712-1234
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/28/2026
Last Update Date	:	01/28/2026

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Directions to “ JAMIE K DEWIG ” Practice Location

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