Individual
CADEN SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1234 N NOTRE DAME AVE, SOUTH BEND, IN 46617-1404
(574) 631-5574
Mailing address
1234 N NOTRE DAME AVE, SOUTH BEND, IN 46617-1404
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/30/2025
Last updated
07/30/2025
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