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Search › Indiana › 103TC0700X

Matthew Jackson

NPI 1952794570 · on the registry since 2015

Practice

Address
714 N Michigan St
South Bend, IN 46601
Phone
(574) 647-7477
Organisation at this address
Memorial Hospital
Memorial Home Care, Inc.
Beacon Medical Group, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
83

Registry record

Primary taxonomy
103TC0700X
103TC0700X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-05-01

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