IndividualActive
Alex Bruggeman
NPI 1174299085 · Student in an Organized Health Care Education/Training Program · Anna, OH
Provider details
- NPI number
- 1174299085
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Male
- Sole proprietor
- No
- License
- UP372035 (OH)
Specialties & taxonomies
- Student in an Organized Health Care Education/Training ProgramPrimary390200000XLicense UP372035 (OH)
Student, Health Care
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
14041 State Route 29
Anna, OH 45302
Phone: (937) 622-0075
Approximate (ZIP-level) locationGet directions
Mailing address
14041 State Route 29
Anna, OH 45302
Additional practice locations (1)
- 281 W Lane AveColumbus, OH 43210-1132Phone: (614) 292-6446
Registry dates
- Enumerated
- 2021-08-19
- Last updated
- 2021-08-19
- Certified
- 2021-08-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.