Brooke Dippel

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

NPI 1295136257 · NPPES record last updated Sep 9, 2014

Key facts

NPI
1295136257
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
237 Washington St
Mason, MI 48854-1802
Phone
(517) 881-4405
NPI assigned
Sep 9, 2014
Sex
Female
Sole proprietor
Yes

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

237 Washington St
Mason, MI 48854-1802

Mailing address

237 Washington St
Mason, MI 48854-1802
Phone (517) 881-4405

Other providers in Mason, MI

All providers in Mason, MI · Student in an Organized Health Care Education/Training Program in Michigan

Sources for this page

Verify at the official NPI Registry.