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Dr. John L Jenkins, MD
Specialist in South Bend, Indiana
NPI 1003818212

John L Jenkins is a Specialist based in South Bend, IN. John L Jenkins practices in South Bend, IN and has the professional credentials of MD. The NPI Number for John L Jenkins is 1003818212 and holds a License No. 01025732 (Indiana).

The current practice location address for John L Jenkins is 621 Memorial Dr, South Bend, IN and can be reached out via phone at 574-234-9001 and via fax at 574-287-5367.

Location: 621 Memorial Dr, South Bend, IN, 46601-1075
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003818212
Provider Name
John L Jenkins
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
621 Memorial Dr, South Bend, IN, 46601-1075
Phone Number
574-234-9001
Fax Number
574-287-5367
Provider Enumeration Date
06/01/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100325320A 05 IN
institution
Provider Business Practice Location Address Details
Address
621 Memorial Dr
City
South Bend
State
Indiana
Zip
46601-1075
Phone Number
574-234-9001
Fax Number
574-287-5367
person
Provider Business Mailing Address Details
Address
621 Memorial Dr
City
South Bend
State
Indiana
Zip
46601-1075
Phone Number
574-234-9001
Fax Number
574-287-5367
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
01025732 (Indiana)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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