Individual
DR. RONALD E JAMERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2001 U.S. 41, SCHEREVILLE, IN 46375
(219) 365-0970
(219) 365-1830
Mailing address
757 45TH STREET, STE. 201, MUNSTER, IN 46321
(219) 922-5550
(219) 922-5555
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
01039372
IN
207Y00000X
Otolaryngology Physician
Primary
01039372A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000093105
ANTHEM BLUE CROSS
IN
01
—
040012827
RAILROAD MEDICARE
—
05
—
100102610B
—
IN
01
—
2051064
AETNA US HEALTH SERVICE
—
01
—
352051779001
TRICARE
—
01
—
5590201001
CIGNA
—
01
—
90000851
BCBS OF IL
IL
Enumeration date
08/17/2005
Last updated
01/27/2012
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