Individual provider · Type 1 NPI
Jacob Hebert
Student in an Organized Health Care Education/Training Program · Longmeadow, MA
NPI number
1184225682
Active
Practice location
177 Wenonah Rd
Longmeadow, MA 01106-1929
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.
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About NPI 1184225682
Jacob Hebert's National Provider Identifier is 1184225682, issued on Nov 3, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Longmeadow, MA. The record was last updated on Nov 3, 2020.