Isch, Jason L.

Isch, Jason L. is an individual health care provider with primary practice located at 611 E Douglas Rd Ste 407 , Mishawaka IN 46545-1468. He recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as his primary health care specialty. Isch, Jason L. can be contacted via phone (574) 335-6500.

Contact Information

Primary practice address
611 E Douglas Rd Ste 407 Mishawaka IN 46545-1468
Phone: (574) 335-6500
Fax: (574) 335-0771
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1609228659
LBN Legal business name Isch, Jason L.
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2016
Last updated May 21st, 2021 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1609228659 NPPES
Indiana Other 26026112A IN PHARMACY LICENSE

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