Jack Joseph Sudekum
Jack Joseph Sudekum is a Student in an Organized Health Care Education/Training Program in Beavercreek, Ohio. Practices as a sole proprietor. Registered with an NPI since 2026.
- In the registry since
- 2026
Practice location Address checks out
2145 N Fairfield Rd Ste 100Beavercreek, OH 45431-2783
Phone: (937) 558-3900
Fax: (937) 558-3999
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1558201533 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 30, 2026 |
| Last updated in NPPES | March 30, 2026 |
| Certification date | March 30, 2026 |
| Mailing address | 2145 N Fairfield Rd Ste 100, Beavercreek, OH 45431-2783 |
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