Individual provider · Type 1 NPI

Jack Tiahnybik, DO

Student in an Organized Health Care Education/Training Program · Indianapolis, IN

NPI number 1114506433 Active

Practice location

1120 W Michigan St # CL642
Indianapolis, IN 46202-5209

Call (317) 278-2686 Map

Other practice locations

  • 550 University Blvd, Indianapolis, IN 46202-5149 · (131) 794-4500

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1114506433

Jack Tiahnybik, DO's National Provider Identifier is 1114506433, issued on Apr 5, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Indianapolis, IN. The record was last updated on Apr 5, 2021.