Individual provider · Type 1 NPI

Sophia Julia Jaeckel, DO

Student in an Organized Health Care Education/Training Program · Grand Junction, CO

NPI number 1871348649 Active

Practice location

2698 Patterson Rd Ste 100
Grand Junction, CO 81506-8211

Call (970) 298-2874 Map

Mailing address

1880 Dover St
Lakewood, CO 80215-3187

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000X0010212 (CO)
Student in an Organized Health Care Education/Training Program Primary 390200000X0010212 (CO)

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 1871348649

Sophia Julia Jaeckel, DO's National Provider Identifier is 1871348649, issued on Apr 23, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Grand Junction, CO. The record was last updated on Jun 26, 2024.