SearchIndiana104100000X

Harvey Jefferson

NPI 1710302229 · on the registry since 2014 · sole proprietor

Practice

Address
5304 Sandwood Dr
Indianapolis, IN 46235
Phone
(317) 828-0573
Fax
(317) 000-0000

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-02-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana