Craig W. Deverell in Mt Zion - Athletic Trainer
Craig W. Deverell - NPI 1255397592
Craig W. Deverell is a Athletic Trainer in Mt Zion, Illinois. Craig W. Deverell practices all healthcare services and medical treatments related to Athletic Trainer. The NPI Number for Craig W. Deverell is 1255397592. The last update date is 2007-07-08.
Craig W. Deverell's current location address is 5452 N Kruse Rd, Mt Zion, Illinois. You can contact this provider via phone number 2174330123. The mailing address for Craig W. Deverell is 5452 N Kruse Rd, Mt Zion, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Craig W. Deverell |
|---|---|
| Address | 5452 N Kruse Rd, Mt Zion, Illinois |
| Phone Number | 2174330123 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | ATC, CSCS |
NPI Number Detail
| NPI Number | 1255397592 |
|---|---|
| Provider Enumeration Date | 2006-04-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5452 N Kruse Rd |
|---|---|
| City | Mt Zion |
| State | Illinois (IL) |
| Post Code | 625492723 |
| Phone Number | 2174330123 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Athletic Trainer |
|---|---|
| Taxonomy | 2255A2300X |
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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 identification code issued to Craig W. Deverell by the Centers for Medicare & Medicaid Services?
The Craig W. Deverell has been assigned the NPI (National Provider Identifier) 1255397592 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Craig W. Deverell?
The Craig W. Deverell is situated at 5452 N Kruse Rd, in the city of Mt Zion, state of IL, with the zip code 625492723.
What is Craig W. Deverell's specialized field of practice, and what is the corresponding taxonomy classification code?
The Craig W. Deverell's area of specialization is Athletic Trainer, and the corresponding taxonomy code that categorizes this field of practice is 2255A2300X.
When did the Craig W. Deverell receive its 1255397592?
The Craig W. Deverell was issued its 1255397592 on 2006-04-25, which is the date when the organization was assigned this unique identifier.
When was the information regarding Craig W. Deverell most recently updated?
The details pertaining to the Craig W. Deverell, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.