Individual provider · Type 1 NPI
Jorge Luis Fonseca
Student in an Organized Health Care Education/Training Program · Mccordsville, IN
NPI number
1457718488
Active
Practice location
8825 N Fawn Meadow Dr
Mccordsville, IN 46055-9291
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Athletic Trainer | 2255A2300X | None listed |
| 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.
Other student in an organized health care education/training program providers in Mccordsville
About NPI 1457718488
Jorge Luis Fonseca's National Provider Identifier is 1457718488, issued on Jan 21, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Mccordsville, IN. The record was last updated on Jan 21, 2016.