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NPI Code Detail

MEDICARE: JENA REJAK

MEDICARE: JENA REJAK
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
1373H00000XDay Training/Habilitation Specialist

General Provider Information

NPI Number : 1457825564
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENA REJAK
Provider Business Mailing Address
First Line : 9434 LIMA RD STE C
Second Line :
City : FORT WAYNE
State : IN
Zip : 46818-2000
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9434 LIMA RD STE C
Second Line :
City : FORT WAYNE
State : IN
Zip : 46818-2000
Country : US
Telephone Number : 260-492-9334
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2019
Last Update Date : 05/25/2023

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Directions to “ JENA REJAK ” Practice Location

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