Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EBONY JACKS
Active Sole ProprietorEBONY JACKS is a Prosthetic/Orthotic Supplier healthcare provider located in INDIANAPOLIS, Indiana. NPI 1104574896 is currently active in the NPPES registry. Verify at CMS.
Prosthetic/Orthotic Supplier · INDIANAPOLIS, IN
Registration Details
- NPI Number
- 1104574896
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 13, 2022 (4.4446768722244 yrs)
- Last Updated
- Jun 7, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
1011 N ARLINGTON AVEINDIANAPOLIS, IN, 462193223Browse IN providers · Browse ZIP 46219
- Phone
- 2605086752
- Primary Specialty
-
Prosthetic/Orthotic Supplier
335E00000X
Other Prosthetic/Orthotic Supplier Providers in INDIANAPOLIS, IN
| Name | Credential | NPI |
|---|---|---|
| NICOLAS MOWERY | CP | 1427580364 |
| KEVIN HAGEMEIER | CPO | 1124550025 |
| CAROLYN MCCANN | CP | 1861924706 |
| SAMUEL SANTA RITA | CP | 1760914618 |
| AARON MATTHEW ROBERTS | CPO | 1215403217 |
| EMILY ANDERSON | CP | 1952877631 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.