Marijean Dale Ballard in Deatsville - Athletic Trainer
Marijean Dale Ballard - NPI 1609811512
Marijean Dale Ballard is a Athletic Trainer in Deatsville, Alabama. Marijean Dale Ballard practices all healthcare services and medical treatments related to Athletic Trainer. The NPI Number for Marijean Dale Ballard is 1609811512. The last update date is 2014-08-15.
Marijean Dale Ballard's current location address is 289 Summertime Pkwy, Deatsville, Alabama. You can contact this provider via phone number 2056015160 and fax number 2053781920. The mailing address for Marijean Dale Ballard is 289 Summertime Pkwy, Deatsville, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marijean Dale Ballard |
|---|---|
| Address | 289 Summertime Pkwy, Deatsville, Alabama |
| Phone Number | 2056015160 |
| Fax Number | 2053781920 |
| Sole Proprietor | Y |
| Credentials | ATC |
NPI Number Detail
| NPI Number | 1609811512 |
|---|---|
| Provider Enumeration Date | 2006-06-17 |
| Last Updated Date | 2014-08-15 |
Provider Mailing Address Detail
| Address | 289 Summertime Pkwy |
|---|---|
| City | Deatsville |
| State | Alabama (AL) |
| Post Code | 360225371 |
| Phone Number | 2056015160 |
| Fax Number | 2053781920 |
Provider's Primary Taxonomy Detail
| Speciality | Athletic Trainer |
|---|---|
| Taxonomy | 2255A2300X |
| Licence No | 610 |
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Definition: Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-leve |
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What is the unique 10-digit identifier code assigned to Marijean Dale Ballard by the Centers for Medicare & Medicaid Services?
The Marijean Dale Ballard has been issued the NPI (National Provider Identifier) 1609811512 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Marijean Dale Ballard's physical address?
The Marijean Dale Ballard is physically located at 289 Summertime Pkwy, in the city of Deatsville, AL, with the postal code 360225371.
What is the Marijean Dale Ballard's area of specialization and corresponding taxonomy classification?
The Marijean Dale Ballard's specialty field is Athletic Trainer, and it falls under the taxonomy code 2255A2300X, which categorizes healthcare providers based on their specialties.
On what date did the Marijean Dale Ballard receive the assignment of its 1609811512 from the Centers for Medicare & Medicaid Services?
The Marijean Dale Ballard was issued its 1609811512 by the Centers for Medicare & Medicaid Services on 2006-06-17.
When was the information related to Marijean Dale Ballard most recently updated or refreshed?
The details pertaining to the Marijean Dale Ballard, including its address, specialty, and other relevant information, were last updated or refreshed on 2014-08-15.
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