Roshanmanesh, Jacob

Roshanmanesh, Jacob is an individual health care provider with primary practice located at 620 W Edison Rd Ste 110 , Mishawaka IN 46545-2784. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Roshanmanesh, Jacob can be contacted via phone (574) 258-1100.

Contact Information

Primary practice address
620 W Edison Rd Ste 110 Mishawaka IN 46545-2784
Phone: (574) 258-1100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 01081681A Indiana

Profile Details

NPI number 1427475516
LBN Legal business name Roshanmanesh, Jacob
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2014
Last updated Mar 22nd, 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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