Jared William Faulk
Jared William Faulk is a Student in an Organized Health Care Education/Training Program in Columbia, Missouri. Registered with an NPI since 2019.
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
1222 E Walnut St Apt 111Columbia, MO 65201-4972
Phone: (309) 706-0254
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Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1861950727 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 8, 2019 |
| Last updated in NPPES | August 11, 2021 |
| Certification date | August 11, 2021 |
| Mailing address | 3561 Aspen Heights Pkwy Apt C, Columbia, MO 65201-7262 |
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