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NPI Code Detail

MEDICARE: WWJD INC

MEDICARE: WWJD INC
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
1237700000XHearing Instrument Specialist17000937IN

General Provider Information

NPI Number : 1205977584
Entity Type Code : Organization
Provider Name (Legal Business Name) : WWJD INC
Provider Business Mailing Address
First Line : 3843 MOLLER RD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46254-2930
Country : US
Telephone Number : 317-291-3376
Fax Number :
Provider Business Practice Location Address
First Line : 3843 MOLLER RD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46254-2930
Country : US
Telephone Number : 317-291-3376
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MR. DOUGLAS RANDOLPH MCMILLIN
Credential :
Telephone Number : 317-291-3376
Provider Enumeration Date : 02/09/2007
Last Update Date : 08/22/2020

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Directions to “WWJD INC ” Practice Location

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