NPI 1306843685

Joe Clinkenbeard, PA

Practitioner Physician Assistant Valparaiso, IN

Practice location

Address: 2421 Laporte Ave, Valparaiso, IN 46383-6914
Phone: (219) 462-6192
Fax: (219) 464-2585
Mailing address: 1040 Sierra Dr Suite 400, Greenwood, IN 46143-7241

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 10000235 (IN)

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Registry record

NPI: 1306843685
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Jul 2005
Record last updated: 16 May 2012

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.