JACOB COLLINS

GREENWOOD, IN
NPI1659012201
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IN  01096296A)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
(Licence: IN  11022090A)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-04-06
Last Update Date2025-09-24
Business Address
JACOB COLLINS
3000 S STATE ROAD 135 STE 310
GREENWOOD, IN 46143-5527
Phone number: 317-497-2400
Mailing Address
JACOB COLLINS
6626 E 75TH ST STE 500
INDIANAPOLIS, IN 46250-2890
Phone number: 317-621-7468