Individual provider · Type 1 NPI
Derek Schrodt
Student in an Organized Health Care Education/Training Program · Canton, IL
NPI number
1841740263
Active
Practice location
237 Harvester Road
Canton, IL 61520-2018
Mailing address
236 Harvester Rd
Canton, IL 61520
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Athletic Trainer | 2255A2300X | None listed |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None 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.
About NPI 1841740263
Derek Schrodt's National Provider Identifier is 1841740263, issued on Oct 10, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Canton, IL. The record was last updated on Oct 10, 2016.