Individual provider · Type 1 NPI

Alissa Marie Ebenhoeh

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

NPI number 1104567643 Active

Practice location

15 Michigan St NE
Grand Rapids, MI 49503-2508

Call (616) 233-1678 Map

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 1104567643

Alissa Marie Ebenhoeh's National Provider Identifier is 1104567643, issued on Apr 6, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Grand Rapids, MI. The record was last updated on Apr 6, 2022.