Jack Thomas Egnatz
Jack Thomas Egnatz is a Student in an Organized Health Care Education/Training Program in Bloomington, Indiana. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
281 W 11th StBloomington, IN 47404-3718
Phone: (219) 798-5636
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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 number | 1619786704 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 2, 2025 |
| Last updated in NPPES | January 2, 2025 |
| Certification date | January 2, 2025 |
| Mailing address | 281 W 11th St, Bloomington, IN 47404-3718 |
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