Jack White
Jack White is a Student in an Organized Health Care Education/Training Program in Indianapolis, Indiana. Licensed in Indiana. Registered with an NPI since 2024.
- Licensed in
- IN
- In the registry since
- 2024
Practice location Address checks out
350 W 14th St # HA7024Indianapolis, IN 46202-2369
Phone: (317) 944-5000
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X (IN) |
|---|
Record details
| NPI number | 1518709492 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 11, 2024 |
| Last updated in NPPES | April 20, 2026 |
| Certification date | April 20, 2026 |
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