John L Jenkins is a Specialist in South Bend, Indiana. John L Jenkins practices all healthcare services and medical treatments related to Specialist. The NPI Number for John L Jenkins is 1003818212. The last update date is 2010-10-06.
John L Jenkins's current location address is 621 Memorial Dr, South Bend, Indiana. You can contact this provider via phone number 5742349001 and fax number 5742875367. The mailing address for John L Jenkins is 621 Memorial Dr, South Bend, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John L Jenkins |
|---|---|
| Address | 621 Memorial Dr, South Bend, Indiana |
| Phone Number | 5742349001 |
| Fax Number | 5742875367 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1003818212 |
|---|---|
| Provider Enumeration Date | 2005-06-01 |
| Last Updated Date | 2010-10-06 |
Provider Mailing Address Detail
| Address | 621 Memorial Dr |
|---|---|
| City | South Bend |
| State | Indiana (IN) |
| Post Code | 4660110750 |
| Phone Number | 5742349001 |
| Fax Number | 5742875367 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 1025732 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100325320A | IN | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to John L Jenkins?
The John L Jenkins has been issued the NPI (National Provider Identifier) 1003818212 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the John L Jenkins located?
The John L Jenkins is located at 621 Memorial Dr, South Bend, IN 4660110750.
What is the John L Jenkins's specialty and taxonomy code?
The John L Jenkins's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
When was the John L Jenkins's 1003818212 issued?
The John L Jenkins's 1003818212 was issued on 2005-06-01.
As of what date was the information regarding John L Jenkins, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to John L Jenkins, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-10-06.
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