IndividualActive
Adam Nicodemus
NPI 1245648930 · Student in an Organized Health Care Education/Training Program · Columbia City, IN
Provider details
- NPI number
- 1245648930
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Male
- Sole proprietor
- No
- License
- 36002136A (IN)
Specialties & taxonomies
- Student in an Organized Health Care Education/Training ProgramPrimary390200000XLicense 36002136A (IN)
Student, Health Care
Practice location
2400 N 450 W
Columbia City, IN 46725-9141
Phone: (260) 239-5177
Approximate (ZIP-level) locationGet directions
Mailing address
2400 N 450 W
Columbia City, IN 46725-9141
Registry dates
- Enumerated
- 2014-07-26
- Last updated
- 2014-07-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.