person
Jacob Ivan
Student in an Organized Health Care Education/Training Program in Ogden, Utah
NPI 1134979347

Jacob Ivan is a Student in an Organized Health Care Education/Training Program based in Ogden, UT. Jacob Ivan practices in Ogden, UT. The NPI Number for Jacob Ivan is 1134979347 and holds a License No. (Utah).

The current practice location address for Jacob Ivan is 4403 Harrison Blvd Ste 700A, Ogden, UT and can be reached out via phone at 801-387-5300.

Location: 4403 Harrison Blvd Ste 700A, Ogden, UT, 84403-3295
person
Provider Profile Details
NPI Number
1134979347
Provider Name
Jacob Ivan
Credential
Provider Entity Type
Individual
Gender
Male
Address
4403 Harrison Blvd Ste 700A, Ogden, UT, 84403-3295
Phone Number
801-387-5300
Fax Number
Provider Enumeration Date
03/22/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
4403 Harrison Blvd Ste 700A
City
State
Zip
84403-3295
Phone Number
801-387-5300
Fax Number
person
Provider Business Mailing Address Details
Address
4403 Harrison Blvd Ste 700A
City
State
Zip
84403-3295
Phone Number
801-387-5300
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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