Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jack O'Hara

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1568393171

Jack O'Hara is a Student in an Organized Health Care Education/Training Program in East Lansing, Michigan. Practices as a sole proprietor. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

965 Wilson Rd
East Lansing, MI 48824-6410
Phone: (517) 355-9616
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1568393171
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorYes
NPI enumeratedMay 25, 2026
Last updated in NPPESMay 25, 2026
Certification dateMay 25, 2026
Mailing address313 N Cedar St Apt 317, Lansing, MI 48912-1290

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