# JEFFREY N DE WESTER TREATMENT AND RESEARCH CENTER, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700393741
- **Authorized official:** NATALIE RAE BEMENT (EXECUTIVE ASSISTANT)
- **Authorized official phone:** (317) 735-1851

## Contact information

- **Practice address:** 6447 S EAST ST STE C, INDIANAPOLIS, IN 46227-2119
- **Practice address phone:** (317) 735-1851
- **Practice address fax:** (317) 735-1951
- **Mailing address:** 6447 S EAST ST STE C, INDIANAPOLIS, IN 46227-2119
- **Mailing address phone:** (317) 735-1851
- **Mailing address fax:** (317) 735-1951

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | 01036126A | IN | Yes |

## Other

- **Enumeration date:** 12/29/2017
- **Last updated:** 12/29/2017