Individual provider · Type 1 NPI

Adam Nicodemus

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

NPI number 1245648930 Active

Practice location

2400 N 450 W
Columbia City, IN 46725-9141

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X36002136A (IN)

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 1245648930

Adam Nicodemus's National Provider Identifier is 1245648930, issued on Jul 26, 2014. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Columbia City, IN. The record was last updated on Jul 26, 2014.