Jason J Hix
Family Doctor - Sports Medicine
2310 California Road
Elkhart
, Indiana 46514-1228
Jason J Hix
Family Doctor - Sports Medicine
2310 California Road
Elkhart
, Indiana 46514-1228
(574) 262-9650
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About
Features
Specialties
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Jason J Hix
- 2310 California Road
- Elkhart, IN
- Zip : 46514-1228
- Fax : (574) 262-9650
- Phone : (574) 264-4163
Second Address
- Jason J Hix
- 2310 California Road
- Elkhart, IN
- Zip : 46514-1228
- Fax : (574) 262-9650
- Phone : (574) 264-4163
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Is Jason J Hix a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QS0010X | Family Doctor - Sports Medicine | 01055077A | IN |
National Provider Identifier
| NPI | 1023029741 |
|---|---|
| Provider Name | Jason J Hix |
| First Address | Elkhart, IN 46514-1228 |
| Second Address | Elkhart, IN 46514-1228 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/08/2006 |
| Last Update Date | 04/12/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 200366720 | (05) | IN |
| H57280 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.