Individual provider · Type 1 NPI

Jason Robert Shanker

Student in an Organized Health Care Education/Training Program · Bingham Farms, MI

NPI number 1750247300 Active

Practice location

30200 Telegraph Rd
Bingham Farms, MI 48025-4502

Call (248) 712-1129 Map

Fax (248) 792-3249

Mailing address

19875 Butternut Ln
Southfield, MI 48076-1795

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 1750247300

Jason Robert Shanker's National Provider Identifier is 1750247300, issued on Dec 29, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bingham Farms, MI. The record was last updated on Dec 29, 2025.