person
Jacob Samuel Modesitt
Student in an Organized Health Care Education/Training Program in Great Falls, Montana
NPI 1023719986

Jacob Samuel Modesitt is a Student in an Organized Health Care Education/Training Program based in Great Falls, MT. Jacob Samuel Modesitt practices in Great Falls, MT. The NPI Number for Jacob Samuel Modesitt is 1023719986 and holds a License No. (Montana).

The current practice location address for Jacob Samuel Modesitt is 2217 4Th Ave N, Great Falls, MT and can be reached out via phone at 559-308-9231.

Location: 2217 4Th Ave N, Great Falls, MT, 59401-2803
person
Provider Profile Details
NPI Number
1023719986
Provider Name
Jacob Samuel Modesitt
Credential
Provider Entity Type
Individual
Gender
Male
Address
2217 4Th Ave N, Great Falls, MT, 59401-2803
Phone Number
559-308-9231
Fax Number
Provider Enumeration Date
03/16/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2217 4Th Ave N
City
State
Zip
59401-2803
Phone Number
559-308-9231
Fax Number
person
Provider Business Mailing Address Details
Address
2217 4Th Ave N
City
State
Zip
59401-2803
Phone Number
559-308-9231
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
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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