Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB AUSTIN SHAW, PARAMEDIC
Active Sole ProprietorJACOB AUSTIN SHAW, PARAMEDIC is a Military Health Care Provider healthcare provider located in INDIANAPOLIS, Indiana. NPI 1083505481 is currently active in the NPPES registry. Verify at CMS.
Military Health Care Provider · INDIANAPOLIS, IN
Registration Details
- NPI Number
- 1083505481
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 14, 2025 (1.1203574617102 yrs)
- Last Updated
- Jul 14, 2025
- License
-
M5148988 (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6704 SMITHFIELD BLVDINDIANAPOLIS, IN, 462379106Browse IN providers · Browse ZIP 46237
- Phone
- 3176196884
- Fax
- 3176196884
- Primary Specialty
-
Military Health Care Provider
171000000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.