Individual provider · Type 1 NPI

Elijah Mason

Student in an Organized Health Care Education/Training Program · St. Paul, MN

NPI number 1629730072 Active

Practice location

3900 Bethel Dr
St. Paul, MN 55112-6902

Call (651) 638-6400 Map

Mailing address

1330 High Site Dr Apt 218
Eagan, MN 55121-2737

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program 390200000XNone listed
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 1629730072

Elijah Mason's National Provider Identifier is 1629730072, issued on Oct 12, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in St. Paul, MN. The record was last updated on Oct 12, 2021.