Jacob Charron, MD
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Fruitport, MI
NPI 1679416622 · NPPES record last updated Apr 13, 2026
Key facts
- NPI
- 1679416622
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 3443 Farr Rd
Fruitport, MI 49415-8779 - Phone
- (231) 672-2900
- NPI assigned
- Apr 13, 2026
- 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
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | MI | Yes |
Addresses
Primary practice location
3443 Farr Rd
Fruitport, MI 49415-8779
Mailing address
3443 Farr Rd
Fruitport, MI 49415-8779
Phone (231) 672-2900
Other providers in Fruitport, MI
- Sophia Spiros Bouyoucos-Sayen
- Marissa Brandenburg
- Chase Burton
- Sameen Bashir Butt
- CCR Home Health Care
- Chelsea Klipfel, D.D.S., P.L.L.C.
- Christopher Sortman DDS, P.C.
- Country-Side Counseling & Consultation Services, PC
- Delphia Croff
- Allison Nichole Crowl
All providers in Fruitport, MI · Student in an Organized Health Care Education/Training Program in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 13, 2026. 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.