Individual provider · Type 1 NPI
Jacob Dale Good
Student in an Organized Health Care Education/Training Program · South Bend, IN
NPI number
1194563734
Active
Practice location
1118 Roberts St
South Bend, IN 46615-3909
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| 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 1194563734
Jacob Dale Good's National Provider Identifier is 1194563734, issued on Jul 17, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in South Bend, IN. The record was last updated on Jul 17, 2024.