DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: JACOB HENDRICK

MEDICARE: JACOB HENDRICK
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1144084906
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACOB HENDRICK
Provider Business Mailing Address
First Line : 310 GLOCHESKI DR
Second Line :
City : MANISTEE
State : MI
Zip : 49660-2639
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 11660 CHIPPEWA HWY
Second Line :
City : BEAR LAKE
State : MI
Zip : 49614-9419
Country : US
Telephone Number : 231-655-3146
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2024
Last Update Date : 02/12/2024

Similar Medicare Providers

1316670672 — ABIGAIL DENNIS
Practice Location Address:
11660 CHIPPEWA HWY
BEAR LAKE, MI
49614-9419
Practice Phone: 231-655-3146
Practice Fax:
1972239820 — KELLY FISCHER
Practice Location Address:
11660 CHIPPEWA HWY
BEAR LAKE, MI
49614-9419
Practice Phone: 231-655-3146
Practice Fax:
1124806500 — ISABELLA PUCKETT
Practice Location Address:
11660 CHIPPEWA HWY
BEAR LAKE, MI
49614-9419
Practice Phone: 231-655-3146
Practice Fax:
1114709169 — KEELY-SHAYE LONSBURY
Practice Location Address:
11660 CHIPPEWA HWY
BEAR LAKE, MI
49614-9419
Practice Phone: 231-655-3146
Practice Fax:
1942070107 — AARON FAST
Practice Location Address:
11660 CHIPPEWA HWY
BEAR LAKE, MI
49614-9419
Practice Phone: 231-655-3146
Practice Fax:
1932199965 — GLENN CHARLES GRIFFITHS M.D.
Practice Location Address:
8225 LAKE ST
BEAR LAKE, MI
49614-9612
Practice Phone: 231-864-3314
Practice Fax:

Directions to “ JACOB HENDRICK ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.