Individual provider · Type 1 NPI

Jacob David Winkle

Student in an Organized Health Care Education/Training Program · Charleston, WV

NPI number 1720552946 Active

Practice location

2300 Maccorkle Ave SE
Charleston, WV 25304-1045

Call (800) 995-4682 Map

Mailing address

1501 Delta Dr
Charleston, WV 25387-1638

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 1720552946

Jacob David Winkle's National Provider Identifier is 1720552946, issued on Jan 22, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Charleston, WV. The record was last updated on Jan 22, 2019.