Individual provider · Type 1 NPI

Jacob Tyler Vanvorst, DO

Student in an Organized Health Care Education/Training Program · Norwalk, CT

NPI number 1942950589 Active

Practice location

34 Maple St
Norwalk, CT 06850-3894

Call (203) 852-2000 Map

Mailing address

105 Saddlebrook Ln
Scotia, NY 12302-9535

Other practice locations

  • 1 Atwell Rd, Cooperstown, NY 13326-1301 · (518) 852-4294

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 1942950589

Jacob Tyler Vanvorst, DO's National Provider Identifier is 1942950589, issued on Mar 26, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Norwalk, CT. The record was last updated on Mar 28, 2023.