person
Socheat Ear
Student in an Organized Health Care Education/Training Program in Madison, Wisconsin
NPI 1245915313

Socheat Ear is a Student in an Organized Health Care Education/Training Program based in Madison, WI. Socheat Ear practices in Madison, WI. The NPI Number for Socheat Ear is 1245915313 and holds a License No. (Wisconsin).

The current practice location address for Socheat Ear is 16 E Gorham St, Madison, WI and can be reached out via phone at 630-542-9192.

Location: 16 E Gorham St, Madison, WI, 53703-2173
person
Provider Profile Details
NPI Number
1245915313
Provider Name
Socheat Ear
Credential
Provider Entity Type
Individual
Gender
Male
Address
16 E Gorham St, Madison, WI, 53703-2173
Phone Number
630-542-9192
Fax Number
Provider Enumeration Date
06/16/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
16 E Gorham St
City
State
Zip
53703-2173
Phone Number
630-542-9192
Fax Number
person
Provider Business Mailing Address Details
Address
16 E Gorham St
City
State
Zip
53703-2173
Phone Number
630-542-9192
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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