person
Jacob Warren Kooistra Devries
Student in an Organized Health Care Education/Training Program in Bloomington, Indiana
NPI 1811658131

Jacob Warren Kooistra Devries is a Student in an Organized Health Care Education/Training Program based in Greenwood, IN. Jacob Warren Kooistra Devries practices in Bloomington, IN. The NPI Number for Jacob Warren Kooistra Devries is 1811658131 and holds a License No. (Indiana).

The current practice location address for Jacob Warren Kooistra Devries is 701 E 17Th St, Bloomington, IN and can be reached out via phone at 812-856-4465.

Location: 701 E 17Th St, Bloomington, IN, 46143-7445
person
Provider Profile Details
NPI Number
1811658131
Provider Name
Jacob Warren Kooistra Devries
Credential
Provider Entity Type
Individual
Gender
Male
Address
701 E 17Th St, Bloomington, IN, 46143-7445
Phone Number
812-856-4465
Fax Number
Provider Enumeration Date
01/08/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
701 E 17Th St
City
State
Zip
47408-1578
Phone Number
812-856-4465
Fax Number
person
Provider Business Mailing Address Details
Address
701 E 17Th St
City
State
Zip
47408-1578
Phone Number
812-856-4465
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.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.

Similar Doctors in Bloomington, Indiana: