Individual
JACKSON SAWYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
640 CHATHAM HILLS BLVD, WESTFIELD, IN 46074-4327
(574) 780-1463
Mailing address
640 CHATHAM HILLS BLVD, WESTFIELD, IN 46074-4327
(574) 780-1463
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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