Individual provider · NPI-1

Jeremy J Adamowicz, PA

Physician Assistant · Indianapolis, IN

NPI number1790131357
StatusActive
Last updated in NPPESAug 5, 2016

Details

NPI
1790131357
Entity type
Individual (NPI-1)
Name
Jeremy J Adamowicz
Credential
PA
Sex
Male
Sole proprietor
No
Enumeration date
May 12, 2016
Last updated
Aug 5, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant10002086AINYes

Practice location

2001 W 86th St
Indianapolis, IN 46260-1902

Phone 317-338-3634

Mailing address

8840 Commerce Park Pl Ste E
Indianapolis, IN 46268-3129

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Physician Assistant providers in Indianapolis, IN