Jacob Riley Proffer is a student in an organized health care education training program in Bloomington, 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. Jacob Riley Proffer NPI is 1811404171. 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:
1001 E 17TH ST
BLOOMINGTON, IN
ZIP 47408-590
Phone: (317) 340-2320
The enumeration date for this NPI number is 1/8/2018 and was last updated on 3/17/2018.