Individual provider · Type 1 NPI
Jackson Sittenauer, MD
Military Health Care Provider · Providence, RI
NPI number
1831688084
Active
Practice location
593 Eddy St
Providence, RI 02903-4923
Other practice locations
- 4735 E Marginal Way S Ste 1201, Seattle, WA 98134-2380 · (785) 221-0744
- 8901 Wisconsin Ave, Bethesda, MD 20889-0004 · (301) 295-9283
- 3475 N Saratoga St, Oak Harbor, WA 98278-4927 · (360) 257-9500
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Military Health Care Provider Primary | 171000000X | 0101267940 (VA) |
| General Practice Physician | 208D00000X | A193407 (CA) |
| General Practice Physician | 208D00000X | 35.150161 (OH) |
| General Practice Physician | 208D00000X | E-17506 (AR) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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About NPI 1831688084
Jackson Sittenauer, MD's National Provider Identifier is 1831688084, issued on May 3, 2018. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Providence, RI. The record was last updated on Mar 23, 2024.