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NPI Code Detail

MEDICARE: JOSHUA JEWELL D.O.

MEDICARE: JOSHUA JEWELL D.O.
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
1207Q00000XFamily Medicine Physician4843WV

General Provider Information

NPI Number : 1124481320
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSHUA JEWELL D.O.
Provider Business Mailing Address
First Line : PO BOX 1680
Second Line :
City : HUNTINGTON
State : WV
Zip : 25717-1680
Country : US
Telephone Number : 304-781-5151
Fax Number : 304-523-8115
Provider Business Practice Location Address
First Line : 4270 US ROUTE 60
Second Line :
City : HUNTINGTON
State : WV
Zip : 25705-2936
Country : US
Telephone Number : 304-781-5001
Fax Number : 304-781-5002
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2016
Last Update Date : 12/23/2025

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Directions to “ JOSHUA JEWELL D.O.” Practice Location

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