Individual
JERRY A JEFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1345 UNITY PL, SUITE 235, LAFAYETTE, IN 47905-5760
(765) 446-5065
(765) 446-5170
Mailing address
PO BOX 4699, LAFAYETTE, IN 47903-4699
(765) 449-2732
(765) 449-1196
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01048486A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000110556
ANTHEM PROVIDER NUMBER
IN
05
—
200189100
—
IN
Enumeration date
03/14/2006
Last updated
03/23/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us