Jacob David Balca, ATS STUDENT
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Kent, OH
NPI 1467908145 · NPPES record last updated Aug 31, 2016
Key facts
- NPI
- 1467908145
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 4088 Chapman Dr
Kent, OH 44240-6876 - Phone
- (330) 472-6525
- NPI assigned
- Aug 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
4088 Chapman Dr
Kent, OH 44240-6876
Mailing address
4088 Chapman Dr
Kent, OH 44240-6876
Phone (330) 472-6525
Other providers in Kent, OH
- Gregory Michael Baker
- Heather Maria Baker
- Jessica Baker
- Rita Mary Baker
- Skye-Forest Alexandria Baker
- Charles Baldwin
- Nickolus Daniel Baldwin
- Susan D Ball
- Albert Russell Barber
- Susan Barker
All providers in Kent, OH · Student in an Organized Health Care Education/Training Program in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 31, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.