person
Dr. Jay Thomas Fickle III, DO
Student in an Organized Health Care Education/Training Program in Philadelphia, Pennsylvania
NPI 1689293110

Jay Thomas Fickle III is a Student in an Organized Health Care Education/Training Program based in Augusta, PA. Jay Thomas Fickle III practices in Philadelphia, PA and has the professional credentials of DO. The NPI Number for Jay Thomas Fickle III is 1689293110 and holds a License No. (Pennsylvania).

The current practice location address for Jay Thomas Fickle III is 4190 City Ave, Philadelphia, PA and can be reached out via phone at 215-871-6690.

Location: 4190 City Ave, Philadelphia, PA, 30904-4349
person
Provider Profile Details
NPI Number
1689293110
Provider Name
Jay Thomas Fickle III
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
4190 City Ave, Philadelphia, PA, 30904-4349
Phone Number
215-871-6690
Fax Number
Provider Enumeration Date
04/14/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4190 City Ave
City
State
Zip
19131-1626
Phone Number
215-871-6690
Fax Number
person
Provider Business Mailing Address Details
Address
4190 City Ave
City
State
Zip
19131-1626
Phone Number
215-871-6690
Fax Number
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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