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Jacob Alex
Student in an Organized Health Care Education/Training Program in Southfield, Michigan
NPI 1669024915

Jacob Alex is a Student in an Organized Health Care Education/Training Program based in Southfield, MI. Jacob Alex practices in Southfield, MI. The NPI Number for Jacob Alex is 1669024915 and holds a License No. (Michigan).

The current practice location address for Jacob Alex is 22250 Providence Dr Ste 301, Southfield, MI and can be reached out via phone at 248-849-4818. You can also correspond with Jacob Alex through the mailing address at 22250 PROVIDENCE DR STE 301, SOUTHFIELD, MI - 48075-6211 (mailing address contact number: ).

Location: 22250 Providence Dr Ste 301, Southfield, MI, 48075-6211
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669024915
Provider Name
Jacob Alex
Credential
Provider Entity Type
Individual
Gender
Male
Address
22250 Providence Dr Ste 301, Southfield, MI, 48075-6211
Phone Number
248-849-4818
Fax Number
Provider Enumeration Date
07/16/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
22250 Providence Dr Ste 301
City
Southfield
State
Michigan
Zip
48075-6211
Phone Number
248-849-4818
Fax Number
person
Provider Business Mailing Address Details
Address
22250 Providence Dr Ste 301
City
Southfield
State
Michigan
Zip
48075-6211
Phone Number
248-849-4818
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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