Taylor Chaulk
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Kalkaska, MI
NPI 1780102558 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1780102558
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 3799 County Road 612 NE
Kalkaska, MI 49646-9568 - Phone
- (231) 384-5289
- NPI assigned
- Aug 31, 2017
- Sex
- Female
- 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
3799 County Road 612 NE
Kalkaska, MI 49646-9568
Mailing address
3799 County Road 612 NE
Kalkaska, MI 49646-9568
Phone (231) 384-5289
Other providers in Kalkaska, MI
- Kathleen Byers
- Robert Calt
- James Andrew Campbell
- Amber Carr-Kennedy
- James Casey
- Hanna Cho
- Julie Clark
- Vern Coan
- Coldsprings-Excelsior Vounteer Fire & Rescue Dept
- Andrew Scott Cole
All providers in Kalkaska, 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 Jul 21, 2022. 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.