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Caleb Clark, CT
Student in an Organized Health Care Education/Training Program in Tiffin, Ohio
NPI 1194400085

Caleb Clark is a Student in an Organized Health Care Education/Training Program based in Sandusky, OH. Caleb Clark practices in Tiffin, OH and has the professional credentials of CT. The NPI Number for Caleb Clark is 1194400085 and holds a License No. C.2304754-TRNE (Ohio).

The current practice location address for Caleb Clark is 76 Ashwood Dr, Tiffin, OH and can be reached out via phone at 419-448-9440.

Location: 76 Ashwood Dr, Tiffin, OH, 44870-4737
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194400085
Provider Name
Caleb Clark
Credential
CT
Provider Entity Type
Individual
Gender
Male
Address
76 Ashwood Dr, Tiffin, OH, 44870-4737
Phone Number
419-448-9440
Fax Number
Provider Enumeration Date
06/19/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
76 Ashwood Dr
City
Tiffin
State
Ohio
Zip
44883-1908
Phone Number
419-448-9440
Fax Number
person
Provider Business Mailing Address Details
Address
76 Ashwood Dr
City
Tiffin
State
Ohio
Zip
44883-1908
Phone Number
419-448-9440
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
C.2304754-TRNE (Ohio)
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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