Organization · Type 2 NPI
Student
Student in an Organized Health Care Education/Training Program · Petersburg, IL
NPI number
1285992909
Active
Practice location
16554 N Meadow Ln
Petersburg, IL 62675-6786
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.
About NPI 1285992909
Student's National Provider Identifier is 1285992909, issued on May 1, 2012. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Petersburg, IL. The record was last updated on May 1, 2012.