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NPI 1083505481

IndividualActive

Jacob Shaw, PARAMEDIC

NPI 1083505481 · Military Health Care Provider · Indianapolis, IN

Provider details

NPI number: 1083505481
Entity type: Individual
Primary specialty: Military Health Care ProviderOther Service Providers
Credential: PARAMEDIC
Sex: Male
Sole proprietor: Yes
License: M5148988 (IN)

Practice location

6704 Smithfield Blvd

Indianapolis, IN 46237-9106

Phone: (317) 619-6884

Fax: (317) 619-6884

More IN providers

Mailing address

6704 Smithfield Blvd

Indianapolis, IN 46237-9106

Registry dates

Enumerated: 2025-07-14
Last updated: 2025-07-14

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Jacob Shaw, PARAMEDIC — NPI 1083505481, Indianapolis, IN | NPI Central