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Jeremy Carter
Student in an Organized Health Care Education/Training Program in Mishawaka, Indiana
NPI 1467089185

Jeremy Carter is a Student in an Organized Health Care Education/Training Program based in Arlington, IN. Jeremy Carter practices in Mishawaka, IN. The NPI Number for Jeremy Carter is 1467089185 and holds a License No. (Indiana).

The current practice location address for Jeremy Carter is 611 E Douglas Rd Ste 407, Mishawaka, IN and can be reached out via phone at 574-335-6500. You can also correspond with Jeremy Carter through the mailing address at 1009 23RD ST S, ARLINGTON, VA - 22202-2131 (mailing address contact number: ).

Location: 611 E Douglas Rd Ste 407, Mishawaka, IN, 22202-2131
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467089185
Provider Name
Jeremy Carter
Credential
Provider Entity Type
Individual
Gender
Male
Address
611 E Douglas Rd Ste 407, Mishawaka, IN, 22202-2131
Phone Number
574-335-6500
Fax Number
Provider Enumeration Date
03/24/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
611 E Douglas Rd Ste 407
City
Mishawaka
State
Indiana
Zip
46545-1468
Phone Number
574-335-6500
Fax Number
person
Provider Business Mailing Address Details
Address
611 E Douglas Rd Ste 407
City
Mishawaka
State
Indiana
Zip
46545-1468
Phone Number
574-335-6500
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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