Individual
JOEL C WESTBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
4880 CENTURY PLAZA RD, STE 265, INDIANAPOLIS, IN 46254-5471
(317) 216-2700
(317) 216-2777
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
10000109
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
970005516
RR MEDICARE PTAN
IN
Enumeration date
06/10/2006
Last updated
11/24/2020
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