MR. JACOB GARVER ATC
NPI 1730506106
Specialist/Technologist, Other in Frankfort, IL
Active since March 24, 2014
About Mr. Jacob Garver Atc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JACOB GARVER ATC (NPI 1730506106) is an individual specialist/technologist, other provider in Frankfort, Illinois, licensed in Illinois (003962) and active in the NPI registry since March 2014.
NPPES Registry Identity
NPI1730506106
Entity TypeIndividualMale
Primary Taxonomy246Z00000X
Provider Legal NameMR. JACOB GARVERCredential: ATC
Location Address39 W. BANKVIEW DR.Frankfort, IL 60423
Mailing Address910 W 19th Pl, BsmtChicago, IL 60608-3426
Phone(815) 464-7113
Sole ProprietorYes
Enumeration DateMarch 24, 2014
Last NPPES UpdateJune 18, 2015
✔ NPI 1730506106 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtySpecialist/Technologist, OtherTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246Z00000X
License✔ Licensed in IL · 003962
Definition
General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X · License 002488 (NY)
39 W. BANKVIEW DR., Frankfort, IL 60423
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1730506106, enumerated as an "individual" on March 24, 2014.
The provider is located at 39 W. BANKVIEW DR. FRANKFORT, IL 60423 and the phone number is (815) 464-7113.
Specialist/Technologist, Other with taxonomy code 246Z00000X.
