person
Connor Passalacqua
Student in an Organized Health Care Education/Training Program in Jasper, Indiana
NPI 1598408262

Connor Passalacqua is a Student in an Organized Health Care Education/Training Program based in Jasper, IN. Connor Passalacqua practices in Jasper, IN. The NPI Number for Connor Passalacqua is 1598408262 and holds a License No. (Indiana).

The current practice location address for Connor Passalacqua is 966 Bartley St, Jasper, IN and can be reached out via phone at 812-996-7810 and via fax at 812-996-8465.

Location: 966 Bartley St, Jasper, IN, 47546-2641
person
Provider Profile Details
NPI Number
1598408262
Provider Name
Connor Passalacqua
Credential
Provider Entity Type
Individual
Gender
Male
Address
966 Bartley St, Jasper, IN, 47546-2641
Phone Number
812-996-7810
Fax Number
812-996-8465
Provider Enumeration Date
04/19/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
966 Bartley St
City
State
Zip
47546-2641
Phone Number
812-996-7810
Fax Number
812-996-8465
person
Provider Business Mailing Address Details
Address
966 Bartley St
City
State
Zip
47546-2641
Phone Number
812-996-7810
Fax Number
812-996-8465
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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