Individual provider · Type 1 NPI
Brandon Green
Student in an Organized Health Care Education/Training Program · Williamstown, NJ
NPI number
1003216177
Active
Practice location
300 Huntingdon Dr
Williamstown, NJ 08094-8830
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Athletic Trainer | 2255A2300X | G73050966102892 (NJ) |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | G73050966102892 (NJ) |
Student in an Organized Health Care Education/Training Program: 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.
About NPI 1003216177
Brandon Green's National Provider Identifier is 1003216177, issued on Aug 26, 2014. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Williamstown, NJ. The record was last updated on Aug 26, 2014.