Individual provider · Type 1 NPI
Jacob T. Dines, DO
Military Health Care Provider · Ridgecrest, CA
NPI number
1003380288
Active
Practice location
1 Administration Cir # Ms 1015
Ridgecrest, CA 93555-6104
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Military Health Care Provider Primary | 171000000X | OS17059 (FL) |
Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
Other military health care provider providers in Ridgecrest
About NPI 1003380288
Jacob T. Dines, DO's National Provider Identifier is 1003380288, issued on Jan 22, 2019. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Ridgecrest, CA. The record was last updated on Jul 21, 2021.