Individual
JEFFREY A CALDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9619 W QUARTER MOON DR, PENDLETON, IN 46064-9464
(317) 702-4830
Mailing address
9619 W QUARTER MOON DR, PENDLETON, IN 46064-9464
(317) 702-4830
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
IN
Other
Enumeration date
04/07/2022
Last updated
04/07/2022
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