Individual provider · Type 1 NPI

Jake E. Dertinger

Student in an Organized Health Care Education/Training Program · Fort Bliss, TX

NPI number 1326892472 Active

Practice location

18511 Highlander Medics St
Fort Bliss, TX 79906-5327

Call (915) 742-0576 Map

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 1326892472

Jake E. Dertinger's National Provider Identifier is 1326892472, issued on Apr 15, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fort Bliss, TX. The record was last updated on Apr 15, 2024.