JASON ERIC WALLENTINE MD NPI 1154884328

NPI Information

Jason Eric Wallentine, MD is a student in an organized health care education training program in Muncie, IN. 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. Jason Eric Wallentine, MD NPI is 1154884328. 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:

221 N CELIA AVE
MUNCIE, IN
ZIP 47303-609
Phone: (765) 747-3141
Fax: (765) 741-2977

The enumeration date for this NPI number is 4/12/2019 and was last updated on 4/12/2019.

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:

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