Garden, Jack

Garden, Jack is an individual health care provider with primary practice located at 403 E Madison St , South Bend IN 46617-2322. He recently has only one registered license in Behavioral Health & Social Service Providers / Health Service, which is considered as his primary health care specialty. Garden, Jack can be contacted via phone (574) 283-1107.

Contact Information

Primary practice address
403 E Madison St South Bend IN 46617-2322
Phone: (574) 283-1107
Fax: (574) 283-1131
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Health Service 103TH0100X 20041199A Indiana

Profile Details

NPI number 1194860304
LBN Legal business name Garden, Jack
Credentials HSPP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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