Individual provider · Type 1 NPI

Benjamin W. Patrick

Student in an Organized Health Care Education/Training Program · West Lafayette, IN

NPI number 1679090278 Active

Practice location

900 N John R Wooden Dr
West Lafayette, IN 47907-2117

Call (765) 494-3248 Map

Mailing address

2408 Kestral Blvd Apt D
West Lafayette, IN 47906-6526

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone 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 1679090278

Benjamin W. Patrick's National Provider Identifier is 1679090278, issued on Aug 24, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in West Lafayette, IN. The record was last updated on Aug 24, 2017.