Jacob Vanlue

Athletic Trainer · Grabill, IN

Individual Active NPI

NPI number 1639802069

Practice location

13411 Indiana St
Grabill, IN 46741-9435
Phone
(260) 443-9454

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NPI record

NPI
1639802069
Entity type
Individual (Type 1)
Enumeration date
July 4, 2022
Last updated
May 30, 2024
Certified
May 22, 2024
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X — —
Student in an Organized Health Care Education/Training Program 390200000X — —

Mailing address

PO Box 203
Grabill, IN 46741-0203
Phone
(260) 443-9454

About Jacob Vanlue

Jacob Vanlue is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 13411 Indiana St, Grabill, IN 46741-9435. The NPI number 1639802069 was assigned on July 4, 2022 and the record was last updated on May 30, 2024.

Frequently asked questions

What is the NPI number of Jacob Vanlue?

The NPI number is 1639802069.

What is the phone number of Jacob Vanlue?

The phone number listed for the practice location is (260) 443-9454.

Where is Jacob Vanlue located?

13411 Indiana St, Grabill, IN 46741-9435.

What is the taxonomy code for Jacob Vanlue?

The primary taxonomy code is 2255A2300X – Athletic Trainer; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.