Whalio Doctors

NPI 1831688084

Jackson Sittenauer, MD

Practitioner Military Health Care Provider Providence, RI

Practice location

Address
593 Eddy St, Providence, RI 02903-4923
Phone
(785) 221-0744

Registered specialties (5)

Military Health Care Provider Primary
Other Service Providers Taxonomy 171000000X Licence 0101267940 (VA)
General Practice Physician
Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence A193407 (CA)
General Practice Physician
Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 35.150161 (OH)
General Practice Physician
Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence E-17506 (AR)
Student in an Organized Health Care Education/Training Program
Student, Health Care Taxonomy 390200000X

Registry record

NPI
1831688084
Entity type
Individual
Sex (as registered)
Male
NPI issued
3 May 2018
Record last updated
23 Mar 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.