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J K Van Etten
Student in an Organized Health Care Education/Training Program in Cleveland, Ohio
NPI 1114421344

J K Van Etten is a Student in an Organized Health Care Education/Training Program based in Camas, OH. J K Van Etten practices in Cleveland, OH. The NPI Number for J K Van Etten is 1114421344 and holds a License No. MD61136032 (Ohio).

The current practice location address for J K Van Etten is 2500 Metrohealth Dr, Cleveland, OH and can be reached out via phone at 216-778-4486. You can also correspond with J K Van Etten through the mailing address at 3640 NE SITKA DR, CAMAS, WA - 98607-7473 (mailing address contact number: ).

Location: 2500 Metrohealth Dr, Cleveland, OH, 98607-7473
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114421344
Provider Name
J K Van Etten
Credential
Provider Entity Type
Individual
Gender
Female
Address
2500 Metrohealth Dr, Cleveland, OH, 98607-7473
Phone Number
216-778-4486
Fax Number
Provider Enumeration Date
03/21/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2500 Metrohealth Dr
City
Cleveland
State
Ohio
Zip
44109-1900
Phone Number
216-778-4486
Fax Number
person
Provider Business Mailing Address Details
Address
2500 Metrohealth Dr
City
Cleveland
State
Ohio
Zip
44109-1900
Phone Number
216-778-4486
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
Emergency Medical Services
Taxonomy
207PE0004X
License No.
()
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
MD61136032 (Washington)
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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