Individual
JACOB AUSTIN SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PARAMEDIC
Contact information
Practice address
6704 SMITHFIELD BLVD, INDIANAPOLIS, IN 46237-9106
(317) 619-6884
(317) 619-6884
Mailing address
6704 SMITHFIELD BLVD, INDIANAPOLIS, IN 46237-9106
(317) 619-6884
(317) 619-6884
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
M5148988
IN
Other
Enumeration date
07/14/2025
Last updated
07/14/2025
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