person
Garrett Shanks
Student in an Organized Health Care Education/Training Program in South Bend, Indiana
NPI 1326627878

Garrett Shanks is a Student in an Organized Health Care Education/Training Program based in South Bend, IN. Garrett Shanks practices in South Bend, IN. The NPI Number for Garrett Shanks is 1326627878 and holds a License No. (Indiana).

The current practice location address for Garrett Shanks is 714 N Michigan St, South Bend, IN and can be reached out via phone at 574-647-7477.

Location: 714 N Michigan St, South Bend, IN, 46601-1035
person
Provider Profile Details
NPI Number
1326627878
Provider Name
Garrett Shanks
Credential
Provider Entity Type
Individual
Gender
Male
Address
714 N Michigan St, South Bend, IN, 46601-1035
Phone Number
574-647-7477
Fax Number
Provider Enumeration Date
04/02/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
714 N Michigan St
City
State
Zip
46601-1035
Phone Number
574-647-7477
Fax Number
person
Provider Business Mailing Address Details
Address
714 N Michigan St
City
State
Zip
46601-1035
Phone Number
574-647-7477
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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