person
Jacob Bogost
Student in an Organized Health Care Education/Training Program in West Des Moines, Iowa
NPI 1922866318

Jacob Bogost is a Student in an Organized Health Care Education/Training Program based in Milwaukee, IA. Jacob Bogost practices in West Des Moines, IA. The NPI Number for Jacob Bogost is 1922866318 and holds a License No. (Iowa).

The current practice location address for Jacob Bogost is 8025 Grand Ave, West Des Moines, IA and can be reached out via phone at 515-271-1400. You can also correspond with Jacob Bogost through the mailing address at 2534 S KINNICKINNIC AVE STE 202, MILWAUKEE, WI - 53207-1608 (mailing address contact number: 608-630-7786).

Location: 8025 Grand Ave, West Des Moines, IA, 53207-1608
person
Provider Profile Details
NPI Number
1922866318
Provider Name
Jacob Bogost
Credential
Provider Entity Type
Individual
Gender
Male
Address
8025 Grand Ave, West Des Moines, IA, 53207-1608
Phone Number
515-271-1400
Fax Number
Provider Enumeration Date
03/11/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
8025 Grand Ave
City
State
Zip
50266-5360
Phone Number
515-271-1400
Fax Number
person
Provider Business Mailing Address Details
Address
8025 Grand Ave
City
State
Zip
50266-5360
Phone Number
515-271-1400
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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