Individual provider · Type 1 NPI

Eli Shucha

Student in an Organized Health Care Education/Training Program · Madison, WI

NPI number 1790666733 Active

Practice location

2028 Fish Hatchery Rd Apt 2
Madison, WI 53713-1261

Call (608) 208-2364 Map

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 1790666733

Eli Shucha's National Provider Identifier is 1790666733, issued on Sep 8, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Madison, WI. The record was last updated on Sep 8, 2025.