Jake Edward Carroll
Athletic Trainer · Duluth, MN
NPI number
1508427782
Practice location
1200 Kenwood AveDuluth, MN 55811-4199
- Phone
- (218) 723-5960
NPI record
- NPI
- 1508427782
- Entity type
- Individual (Type 1)
- Enumeration date
- June 27, 2019
- Last updated
- June 27, 2019
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Athletic Trainer Primary | 2255A2300X |
— | — |
| Student in an Organized Health Care Education/Training Program | 390200000X |
— | — |
About Jake Carroll
Jake Edward Carroll is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 1200 Kenwood Ave, Duluth, MN 55811-4199. The NPI number 1508427782 was assigned on June 27, 2019 and the record was last updated on June 27, 2019.
Frequently asked questions
What is the NPI number of Jake Edward Carroll?
The NPI number is 1508427782.
What is the phone number of Jake Carroll?
The phone number listed for the practice location is (218) 723-5960.
Where is Jake Carroll located?
1200 Kenwood Ave, Duluth, MN 55811-4199.
What is the taxonomy code for Jake Carroll?
The primary taxonomy code is 2255A2300X – Athletic Trainer; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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