CHAD MAHUTGA NPI 1790448041

NPI Information

NPI: 1790448041
Provider Name: CHAD MAHUTGA
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Address:
3790 MUNGER SHAW RD
DULUTH, MN
ZIP 55810
Phone: (608) 518-1442
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Chad Mahutga is a student in an organized health care education training program in Duluth, MN. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Chad Mahutga NPI is 1790448041. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3790 MUNGER SHAW RD
DULUTH, MN
ZIP 55810-514
Phone: (608) 518-1442

The enumeration date for this NPI number is 10/14/2021 and was last updated on 12/9/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	390200000X	Student in an Organized Health Care Education/Training Program				Yes
2	363A00000X	Physician Assistant				No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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