Individual
JASON J HIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2310 CALIFORNIA ROAD, ELKHART, IN 46514-1228
(574) 264-4163
(574) 262-9650
Mailing address
2310 CALIFORNIA ROAD, ELKHART, IN 46514-1228
(574) 264-4163
(574) 262-9650
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
01055077A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200366720
—
IN
Enumeration date
08/10/2006
Last updated
12/04/2014
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