Provider Demographics
NPI:1467987495
Name:WESTFIELD PREMIER PHYSICIANS LLC
Entity Type:Organization
Organization Name:WESTFIELD PREMIER PHYSICIANS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:TEWELL
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:317-350-0831
Mailing Address - Street 1:15229 WESTFIELD BLVD
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-8000
Mailing Address - Country:US
Mailing Address - Phone:317-350-0831
Mailing Address - Fax:317-896-1299
Practice Address - Street 1:15229 WESTFIELD BLVD
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-8000
Practice Address - Country:US
Practice Address - Phone:317-350-0831
Practice Address - Fax:317-896-1299
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-27
Last Update Date:2017-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty