in Middletown - Student In An Organized Health Care Education/training Program

- NPI 1669639779

is a Student In An Organized Health Care Education/training Program in Middletown, Ohio. practices all healthcare services and medical treatments related to Student In An Organized Health Care Education/training Program. The NPI Number for is 1669639779. The last update date is .

's current location address is 6147 State Route 122 Ste 110, Middletown, Ohio. You can contact this provider via phone number 5132613500 and fax number 5132613509. The mailing address for is 6147 State Route 122 Ste 110, Middletown, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name
Address 6147 State Route 122 Ste 110, Middletown, Ohio
Phone Number 5132613500
Fax Number 5132613509
Sole Proprietor --
Credentials --

NPI Number Detail

NPI Number 1669639779
Provider Enumeration Date
Last Updated Date

Provider Mailing Address Detail

Address 6147 State Route 122 Ste 110
City Middletown
State Ohio (OH)
Post Code 450055201
Phone Number 5132613500
Fax Number 5132613509

Provider's Primary Taxonomy Detail

Speciality Student In An Organized Health Care Education/training Program
Taxonomy 390200000X
Licence No 58.002153
Definition:
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3071125 OH --

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