Individual provider · Type 1 NPI

Mitchell Thomas Heacock

Student in an Organized Health Care Education/Training Program · Indianapolis, IN

NPI number 1235973355 Active

Practice location

350 W 14th St # 7024
Indianapolis, IN 46202-2369

Call (317) 278-2682 Map

Mailing address

700 Cooper Ave
Saginaw, MI 48602-5383

Other practice locations

  • 700 Cooper Ave, Saginaw, MI 48602-5383 · (989) 583-0000

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 1235973355

Mitchell Thomas Heacock's National Provider Identifier is 1235973355, issued on Jun 24, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Indianapolis, IN. The record was last updated on Apr 6, 2026.