Chase Allen Caudill

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Eaton, OH

NPI 1245782812 · NPPES record last updated Oct 31, 2016

Key facts

NPI
1245782812
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
1098 Alexander Rd
Eaton, OH 45320-9219
Phone
(937) 733-3397
NPI assigned
Oct 31, 2016
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

1098 Alexander Rd
Eaton, OH 45320-9219

Mailing address

1098 Alexander Rd
Eaton, OH 45320-9219
Phone (937) 733-3397

Other providers in Eaton, OH

All providers in Eaton, OH · Student in an Organized Health Care Education/Training Program in Ohio

Sources for this page

Verify at the official NPI Registry.