Individual provider · Type 1 NPI
Jacob Austin Shaw, PARAMEDIC
Military Health Care Provider · Indianapolis, IN
NPI number
1083505481
Active
Practice location
6704 Smithfield Blvd
Indianapolis, IN 46237-9106
Fax (317) 619-6884
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Military Health Care Provider Primary | 171000000X | M5148988 (IN) |
Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
About NPI 1083505481
Jacob Austin Shaw, PARAMEDIC's National Provider Identifier is 1083505481, issued on Jul 14, 2025. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Indianapolis, IN. The record was last updated on Jul 14, 2025.