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Jacob S Maynes, DO
Student in an Organized Health Care Education/Training Program in Erie, Pennsylvania
NPI 1316799166

Jacob S Maynes is a Student in an Organized Health Care Education/Training Program based in Erie, PA. Jacob S Maynes practices in Erie, PA and has the professional credentials of DO. The NPI Number for Jacob S Maynes is 1316799166 and holds a License No. (Pennsylvania).

The current practice location address for Jacob S Maynes is 311 W 24Th St, Erie, PA and can be reached out via phone at 814-452-5100.

Location: 311 W 24Th St, Erie, PA, 16502-2665
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316799166
Provider Name
Jacob S Maynes
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
311 W 24Th St, Erie, PA, 16502-2665
Phone Number
814-452-5100
Fax Number
Provider Enumeration Date
04/04/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
311 W 24Th St
City
Erie
State
Pennsylvania
Zip
16502-2665
Phone Number
814-452-5100
Fax Number
person
Provider Business Mailing Address Details
Address
311 W 24Th St
City
Erie
State
Pennsylvania
Zip
16502-2665
Phone Number
814-452-5100
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.
()
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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