person
Dr. Jackson Sittenauer, MD
Student in an Organized Health Care Education/Training Program in Providence, Rhode Island
NPI 1831688084

Jackson Sittenauer is a Student in an Organized Health Care Education/Training Program based in Providence, RI. Jackson Sittenauer practices in Providence, RI and has the professional credentials of MD. The NPI Number for Jackson Sittenauer is 1831688084 and holds a License No. 0101267940 (Rhode Island).

The current practice location address for Jackson Sittenauer is 593 Eddy St, Providence, RI and can be reached out via phone at 785-221-0744.

Location: 593 Eddy St, Providence, RI, 02903-4923
person
Provider Profile Details
NPI Number
1831688084
Provider Name
Jackson Sittenauer
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
593 Eddy St, Providence, RI, 02903-4923
Phone Number
785-221-0744
Fax Number
Provider Enumeration Date
05/03/2018
Last Update Date
04/13/2024
institution
Provider Business Practice Location Address Details
Address
593 Eddy St
City
State
Zip
02903-4923
Phone Number
785-221-0744
Fax Number
person
Provider Business Mailing Address Details
Address
593 Eddy St
City
State
Zip
02903-4923
Phone Number
785-221-0744
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
35.150161 (Ohio)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
A193407 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
0101267940 (Virginia)
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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