Ebony Jacks
Ebony Jacks is a Prosthetic/Orthotic Supplier in Indianapolis, Indiana. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
1011 N Arlington AveIndianapolis, IN 46219-3223
Phone: (260) 508-6752
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Prosthetic/Orthotic Supplier (primary) | Taxonomy 335E00000X |
|---|
Record details
| NPI number | 1104574896 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 13, 2022 |
| Last updated in NPPES | June 7, 2022 |
| Certification date | June 7, 2022 |
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