Individual provider · Type 1 NPI
Ethan Fleming
Student in an Organized Health Care Education/Training Program · Heath, OH
NPI number
1639563364
Active
Practice location
160 Fieldpoint Rd
Heath, OH 43056-1323
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.
About NPI 1639563364
Ethan Fleming's National Provider Identifier is 1639563364, issued on Mar 19, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Heath, OH. The record was last updated on Mar 19, 2015.