Individual provider · Type 1 NPI

Alex Bruggeman

Student in an Organized Health Care Education/Training Program · Anna, OH

NPI number 1174299085 Active

Practice location

14041 State Route 29
Anna, OH 45302

Other practice locations

  • 281 W Lane Ave, Columbus, OH 43210-1132 · (614) 292-6446

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XUP372035 (OH)
Student in an Organized Health Care Education/Training Program Primary 390200000XUP372035 (OH)

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 1174299085

Alex Bruggeman's National Provider Identifier is 1174299085, issued on Aug 19, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Anna, OH. The record was last updated on Aug 19, 2021.