Dakota David Cline

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

NPI 1619683133 · NPPES record last updated Jan 27, 2023

Key facts

NPI
1619683133
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
25175 Olive St
Elberta, AL 36530-2509
Phone
(251) 284-0769
NPI assigned
Jan 27, 2023
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
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

25175 Olive St
Elberta, AL 36530-2509

Mailing address

25175 Olive St
Elberta, AL 36530-2509
Phone (251) 284-0769

Other providers in Elberta, AL

All providers in Elberta, AL · Student in an Organized Health Care Education/Training Program in Alabama

Sources for this page

Verify at the official NPI Registry.