Individual provider · Type 1 NPI

Charleston Joe

Student in an Organized Health Care Education/Training Program · Tooele, UT

NPI number 1699671719 Active

Practice location

1959 N Aaron Dr Ste C
Tooele, UT 84074-8111

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 1699671719

Charleston Joe's National Provider Identifier is 1699671719, issued on Oct 15, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tooele, UT. The record was last updated on Oct 15, 2026.