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Contact Information

STEPHANIE JAHODA
1021 W 5TH AVE
GARY, IN46402-1703
 Phone: 219-880-1190
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community Health

163WC1500X
Indicates primary specialty

NPI Profile & details for STEPHANIE JAHODA · (Female)

NPI Number 1114734431
Status Active
Credentials
Entity Individual
Enumeration date 12/11/2024
Last updated 12/11/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • IN License # 28216777A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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