Individual provider · Type 1 NPI

Jacob Brian Boersma

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

NPI number 1124654918 Active

Practice location

1000 Houghton Ave
Saginaw, MI 48602-5303

Call (989) 746-7500 Map

Other practice locations

  • 15 Michigan St NE, Grand Rapids, MI 49503-2508 · (616) 233-1678

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 1124654918

Jacob Brian Boersma's National Provider Identifier is 1124654918, issued on Mar 12, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Saginaw, MI. The record was last updated on Apr 23, 2022.