Jaden Allen

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

NPI 1952007189 · NPPES record last updated Jan 31, 2023

Key facts

NPI
1952007189
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
3601 21St St SE Apt 309
Mandan, ND 58554-1381
Phone
(307) 299-8103
NPI assigned
Jan 31, 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

3601 21St St SE Apt 309
Mandan, ND 58554-1381

Mailing address

3601 21St St SE Apt 309
Mandan, ND 58554-1381
Phone (307) 299-8103

Other providers in Mandan, ND

All providers in Mandan, ND · Student in an Organized Health Care Education/Training Program in North Dakota

Sources for this page

Verify at the official NPI Registry.