person
John William Fanta
Student in an Organized Health Care Education/Training Program in Indianapolis, Indiana
NPI 1215517438

John William Fanta is a Student in an Organized Health Care Education/Training Program based in Indianapolis, IN. John William Fanta practices in Indianapolis, IN. The NPI Number for John William Fanta is 1215517438 and holds a License No. (Indiana).

The current practice location address for John William Fanta is 1120 W Michigan St # Cl642, Indianapolis, IN and can be reached out via phone at 317-278-2686.

Location: 1120 W Michigan St # Cl642, Indianapolis, IN, 46202-5209
person
Provider Profile Details
NPI Number
1215517438
Provider Name
John William Fanta
Credential
Provider Entity Type
Individual
Gender
Male
Address
1120 W Michigan St # Cl642, Indianapolis, IN, 46202-5209
Phone Number
317-278-2686
Fax Number
Provider Enumeration Date
04/12/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1120 W Michigan St # Cl642
City
State
Zip
46202-5209
Phone Number
317-278-2686
Fax Number
person
Provider Business Mailing Address Details
Address
1120 W Michigan St # Cl642
City
State
Zip
46202-5209
Phone Number
317-278-2686
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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