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Ebony Jacks
Prosthetic/Orthotic Supplier in Indianapolis, Indiana
NPI 1104574896

Ebony Jacks is a Prosthetic/Orthotic Supplier based in Indianapolis, IN. Ebony Jacks practices in Indianapolis, IN. The NPI Number for Ebony Jacks is 1104574896 and holds a License No. (Indiana).

The current practice location address for Ebony Jacks is 1011 N Arlington Ave, Indianapolis, IN and can be reached out via phone at 260-508-6752.

Location: 1011 N Arlington Ave, Indianapolis, IN, 46219-3223
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104574896
Provider Name
Ebony Jacks
Credential
Provider Entity Type
Individual
Gender
Female
Address
1011 N Arlington Ave, Indianapolis, IN, 46219-3223
Phone Number
260-508-6752
Fax Number
Provider Enumeration Date
03/13/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1011 N Arlington Ave
City
Indianapolis
State
Indiana
Zip
46219-3223
Phone Number
260-508-6752
Fax Number
person
Provider Business Mailing Address Details
Address
1011 N Arlington Ave
City
Indianapolis
State
Indiana
Zip
46219-3223
Phone Number
260-508-6752
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
()
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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