Joseph John-Moynihan Olsiewicz
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Gobles, MI
NPI 1902332604 · NPPES record last updated May 2, 2017
Key facts
- NPI
- 1902332604
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 25038 County Road 388
Gobles, MI 49055 - Phone
- (269) 254-7733
- NPI assigned
- May 2, 2017
- Sex
- Male
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
25038 County Road 388
Gobles, MI 49055
Mailing address
25038 County Road 388
Gobles, MI 49055
Phone (269) 254-7733
Other providers in Gobles, MI
- Linda Lou Millek
- Metuschelah Munyabera
- Murks Village Market Inc
- Murks Village Market Inc
- New Found Hope, LLC
- Otsego Family Medical Practice, PLLC
- Monica Lee Phillips
- Arthur Pruitt
- Andrew Rajzer
- Kathleen Richards-Allen
All providers in Gobles, 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 May 2, 2017. 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.