Whalio Doctors

NPI 1003818212

John L Jenkins, MD

Practitioner Specialist South Bend, IN

Practice location

Address
621 Memorial Dr STE 502, South Bend, IN 46601-1075
Phone
(574) 234-9001
Fax
(574) 287-5367

Registered specialties

Specialist Primary
Other Service Providers Taxonomy 174400000X Licence 01025732 (IN)

Registry record

NPI
1003818212
Entity type
Individual
Sex (as registered)
Male
NPI issued
1 Jun 2005
Record last updated
6 Oct 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.