Individual provider · Type 1 NPI

Jeffry Lin

Student in an Organized Health Care Education/Training Program · Southfield, MI

NPI number 1053938969 Active

Practice location

22250 Providence Dr
Southfield, MI 48075-4825

Mailing address

22250 Providence Dr Ste 301
Southfield, MI 48075-6211

Other practice locations

  • 800 S Washington Ave, Saginaw, MI 48601-2551 · (989) 907-8000

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

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.

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About NPI 1053938969

Jeffry Lin's National Provider Identifier is 1053938969, issued on Jun 26, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Southfield, MI. The record was last updated on Mar 29, 2022.