Individual
MICHAEL J JARVIS
Active
Individual
MICHAEL J JARVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
15139
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000041803
ANTHEM BCBS
—
01
—
010435700
BLACK LUNG
—
01
—
060044957
RAILROAD MEDICARE
—
05
—
100033110A
—
IN
01
—
1524493
UMWA
—
05
—
64151392
—
KY
Enumeration date
07/20/2005
Last updated
12/07/2010
Update your record
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