Jared Kent Wilson in Pocatello - Athletic Trainer
Jared Kent Wilson - NPI 1275748089
Jared Kent Wilson is a Athletic Trainer in Pocatello, Idaho. Jared Kent Wilson practices all healthcare services and medical treatments related to Athletic Trainer. The NPI Number for Jared Kent Wilson is 1275748089. The last update date is 2011-12-30.
Jared Kent Wilson's current location address is 777 Hospital Way, Pocatello, Idaho. You can contact this provider via phone number 2082392714. The mailing address for Jared Kent Wilson is 777 Hospital Way, Pocatello, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jared Kent Wilson |
|---|---|
| Address | 777 Hospital Way, Pocatello, Idaho |
| Phone Number | 2082392714 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C, MPAS |
NPI Number Detail
| NPI Number | 1275748089 |
|---|---|
| Provider Enumeration Date | 2007-05-14 |
| Last Updated Date | 2011-12-30 |
Provider Mailing Address Detail
| Address | 777 Hospital Way |
|---|---|
| City | Pocatello |
| State | Idaho (ID) |
| Post Code | 832015175 |
| Phone Number | 2082392714 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Athletic Trainer |
|---|---|
| Taxonomy | 2255A2300X |
| Licence No | 126001086 |
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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 issued to Jared Kent Wilson by the Centers for Medicare & Medicaid Services?
The Jared Kent Wilson has been assigned the NPI (National Provider Identifier) 1275748089 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Jared Kent Wilson is physically located?
The Jared Kent Wilson is physically situated at the following address: 777 Hospital Way, Pocatello, ID, 832015175.
What is Jared Kent Wilson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jared Kent Wilson is Athletic Trainer, and the taxonomy classification code that categorizes this area of expertise is 2255A2300X.
On what date did the Jared Kent Wilson receive its 1275748089 assignment from the Centers for Medicare & Medicaid Services?
The Jared Kent Wilson was assigned its 1275748089 by the Centers for Medicare & Medicaid Services on 2007-05-14.
As of what date were the Jared Kent Wilson's details last updated?
The information pertaining to the Jared Kent Wilson, including its address, specialty, and other details, was most recently updated on 2011-12-30.