Individual provider · Type 1 NPI
Cody Gene Carlson
Student in an Organized Health Care Education/Training Program · Champion, MI
NPI number
1083166847
Active
Practice location
10500 County Road 601
Champion, MI 49814-9467
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Athletic Trainer | 2255A2300X | None listed |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None 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.
About NPI 1083166847
Cody Gene Carlson's National Provider Identifier is 1083166847, issued on Oct 27, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Champion, MI. The record was last updated on Oct 27, 2016.