MACE ODLE
NPI 1972340529
Student in an Organized Health Care Education/Training Program in Fort Wayne, IN

Q: What is Mace Odle's NPI number?

The NPI number for Mace Odle is 1972340529. It was assigned to this individual provider in the NPPES registry on July 11, 2024.

Q: What is Mace Odle's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Mace Odle was last updated on July 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 11, 2024

3030 SANTA ROSA DR, FORT WAYNE, IN 46805(260) 515-3476 Get Directions Write a Review

NPPES record last updated: July 11, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mace Odle NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MACE ODLE (NPI 1972340529) is an individual student in an organized health care education/training program in Fort Wayne, Indiana and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1972340529

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameMACE ODLE

Location Address3030 SANTA ROSA DRFort Wayne, IN 46805-2827

Mailing Address3030 Santa Rosa DrFort Wayne, IN 46805-2827 · (260) 515-3476

Phone(260) 515-3476

Sole ProprietorNo

Enumeration DateJuly 11, 2024

NPPES CertifiedJuly 11, 2024

✔ NPI 1972340529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

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.

3030 SANTA ROSA DR, Fort Wayne, IN 46805

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mace Odle's NPI number?

The NPI number for Mace Odle is 1972340529. It was assigned to this individual provider in the NPPES registry on July 11, 2024.

Where is Mace Odle located?

Mace Odle practices at 3030 Santa Rosa Dr, Fort Wayne, IN 46805. The listed phone number is (260) 515-3476.

What is Mace Odle's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Mace Odle was last updated on July 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.