Individual
JENNIFER HOUSEKNECHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3701 S MAIN ST, ELKHART, IN 46517-3106
(574) 875-4499
(855) 326-4293
Mailing address
3701 S MAIN ST, ELKHART, IN 46517-3106
(574) 875-4499
(855) 326-4293
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002819
IN
Other
Enumeration date
05/12/2006
Last updated
09/01/2016
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