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Adam Nicodemus
Student in an Organized Health Care Education/Training Program in Columbia City, Indiana
NPI 1245648930

Adam Nicodemus is a Student in an Organized Health Care Education/Training Program based in Columbia City, IN. Adam Nicodemus practices in Columbia City, IN. The NPI Number for Adam Nicodemus is 1245648930 and holds a License No. 36002136A (Indiana).

The current practice location address for Adam Nicodemus is 2400 N 450 W, Columbia City, IN and can be reached out via phone at 260-239-5177.

Location: 2400 N 450 W, Columbia City, IN, 46725-9141
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245648930
Provider Name
Adam Nicodemus
Credential
Provider Entity Type
Individual
Gender
Male
Address
2400 N 450 W, Columbia City, IN, 46725-9141
Phone Number
260-239-5177
Fax Number
Provider Enumeration Date
07/26/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2400 N 450 W
City
Columbia City
State
Indiana
Zip
46725-9141
Phone Number
260-239-5177
Fax Number
person
Provider Business Mailing Address Details
Address
2400 N 450 W
City
Columbia City
State
Indiana
Zip
46725-9141
Phone Number
260-239-5177
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.
36002136A (Indiana)
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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