SearchIndiana164W00000X

Jacob Hogan

NPI 1235024639 · on the registry since 2025

Practice

Address
6520 W 700 N
Shipshewana, IN 46565
Phone
(260) 350-5018

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-06-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana