Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB VANLUE
Active Sole ProprietorJACOB VANLUE is a Athletic Trainer healthcare provider located in GRABILL, Indiana. NPI 1639802069 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · GRABILL, IN
Registration Details
- NPI Number
- 1639802069
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 4, 2022 (4.1276926544069 yrs)
- Last Updated
- May 30, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
13411 INDIANA STGRABILL, IN, 467419435Browse IN providers · Browse ZIP 46741
- Phone
- 2604439454
- Primary Specialty
-
Athletic Trainer
2255A2300X
- Additional Specialty
- Student (Health Education/Training)
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.