Brian J Nickerson in Winter Springs - Athletic Trainer
Brian J Nickerson - NPI 1295761930
Brian J Nickerson is a Athletic Trainer in Winter Springs, Florida. Brian J Nickerson practices all healthcare services and medical treatments related to Athletic Trainer. The NPI Number for Brian J Nickerson is 1295761930. The last update date is 2007-07-08.
Brian J Nickerson's current location address is 130 Avery Lake Dr, Winter Springs, Florida. You can contact this provider via phone number 4079711883 and fax number 4078358878. The mailing address for Brian J Nickerson is 130 Avery Lake Dr, Winter Springs, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brian J Nickerson |
|---|---|
| Address | 130 Avery Lake Dr, Winter Springs, Florida |
| Phone Number | 4079711883 |
| Fax Number | 4078358878 |
| Sole Proprietor | X |
| Credentials | ATC |
NPI Number Detail
| NPI Number | 1295761930 |
|---|---|
| Provider Enumeration Date | 2006-06-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 130 Avery Lake Dr |
|---|---|
| City | Winter Springs |
| State | Florida (FL) |
| Post Code | 327085191 |
| Phone Number | 4079711883 |
| Fax Number | 4078358878 |
Provider's Primary Taxonomy Detail
| Speciality | Athletic Trainer |
|---|---|
| Taxonomy | 2255A2300X |
| Licence No | AL 96 |
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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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Post Comment/ Review Below
What is the Brian J Nickerson's unique identification number?
The Brian J Nickerson has been assigned the NPI (National Provider Identifier) Number 1295761930 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Brian J Nickerson located?
The Brian J Nickerson is located at 130 Avery Lake Dr, Winter Springs, FL 327085191.
What is Brian J Nickerson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Brian J Nickerson's specialized field of practice is Athletic Trainer, and the corresponding taxonomy code that categorizes this area of specialization is 2255A2300X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1295761930 to Brian J Nickerson?
The Centers for Medicare & Medicaid Services originally issued the 1295761930 to Brian J Nickerson on 2006-06-24.
When was the Brian J Nickerson's information last updated?
The Brian J Nickerson's information was last updated on 2007-07-08.