Individual
DR. JEREMY WELWARTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
601 STATE ROUTE 664 N, LOGAN, OH 43138-8541
(740) 380-8000
Mailing address
1 DEACONESS RD, BOSTON, MA 02215-5321
(617) 754-2349
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
261968
MA
207P00000X
Emergency Medicine Physician
Primary
34.015345
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
261968
BOARD OF REGISTRATION IN MEDICINE
MA
01
—
MW0990348G
CONTROLLED SUBSTANCES
MA
Enumeration date
06/30/2011
Last updated
05/16/2023
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