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Jeremy Chang
Student in an Organized Health Care Education/Training Program in Kirksville, Missouri
NPI 1407545445

Jeremy Chang is a Student in an Organized Health Care Education/Training Program based in Kirksville, MO. Jeremy Chang practices in Kirksville, MO. The NPI Number for Jeremy Chang is 1407545445 and holds a License No. (Missouri).

The current practice location address for Jeremy Chang is 200 S Osteopathy Ave Apt 101A, Kirksville, MO and can be reached out via phone at 240-370-9958.

Location: 200 S Osteopathy Ave Apt 101A, Kirksville, MO, 63501-1485
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407545445
Provider Name
Jeremy Chang
Credential
Provider Entity Type
Individual
Gender
Male
Address
200 S Osteopathy Ave Apt 101A, Kirksville, MO, 63501-1485
Phone Number
240-370-9958
Fax Number
Provider Enumeration Date
05/04/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
200 S Osteopathy Ave Apt 101A
City
Kirksville
State
Missouri
Zip
63501-1485
Phone Number
240-370-9958
Fax Number
person
Provider Business Mailing Address Details
Address
200 S Osteopathy Ave Apt 101A
City
Kirksville
State
Missouri
Zip
63501-1485
Phone Number
240-370-9958
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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