Individual provider · Type 1 NPI

Jack Andrew Grossweiler

Student in an Organized Health Care Education/Training Program · Chapel Hill, NC

NPI number 1124815642 Active

Practice location

N2198, CB7010
Chapel Hill, NC 27599-7010

Fax (984) 974-4873

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XRTL25-0057 (NC)

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 1124815642

Jack Andrew Grossweiler's National Provider Identifier is 1124815642, issued on Apr 21, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Chapel Hill, NC. The record was last updated on Apr 29, 2025.