JACK E ENNIS

HAMILTON CENTER, INC.

Dr JACK E ENNIS is a male medical professional, specializing in Psychologist, Clinical. He graduated in 1990.

Contact

HAMILTON CENTER, INC.

620 8TH AVE
TERRE HAUTE
IN
478042744

Tel: 8122318323

JACK E ENNIS Information

Npi 1194773028
Pac Id 6305020827
Professional Enrollment Id I20110407000518
Last Name ENNIS
First Name JACK
Middle Name E
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 1990
Primary Specialty PSYCHOLOGIST, CLINICAL
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name HAMILTON CENTER, INC.
Group Practice Pac Id 4284533662
Number Of Group Practice Members 36
Line 1 Street Address 620 8TH AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City TERRE HAUTE
State IN
Zip Code 478042744
Phone Number 8122318323
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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