Ian B Petersen in South Holland - Athletic Trainer
Ian B Petersen - NPI 1255305850
Ian B Petersen is a Athletic Trainer in South Holland, Illinois. Ian B Petersen practices all healthcare services and medical treatments related to Athletic Trainer. The NPI Number for Ian B Petersen is 1255305850. The last update date is 2007-11-26.
Ian B Petersen's current location address is 345 Taft Road, South Holland, Illinois. You can contact this provider via phone number 7085960107 and fax number 7086710767. The mailing address for Ian B Petersen is 345 Taft Road, South Holland, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Ian B Petersen |
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Address | 345 Taft Road, South Holland, Illinois |
Phone Number | 7085960107 |
Fax Number | 7086710767 |
Sole Proprietor | N |
Credentials | ATC-L |
NPI Number Detail
NPI Number | 1255305850 |
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Provider Enumeration Date | 2006-02-13 |
Last Updated Date | 2007-11-26 |
Provider Mailing Address Detail
Address | 345 Taft Road |
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City | South Holland |
State | Illinois (IL) |
Post Code | 60473 |
Phone Number | 7085960107 |
Fax Number | 7086710767 |
Provider's Primary Taxonomy Detail
Speciality | Athletic Trainer |
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Taxonomy | 2255A2300X |
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 identification code assigned to Ian B Petersen by the Centers for Medicare & Medicaid Services?
The Ian B Petersen has been issued the NPI (National Provider Identifier) 1255305850. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Ian B Petersen located?
The Ian B Petersen is located at 345 Taft Road, South Holland, IL 60473.
What is Ian B Petersen's area of expertise and its corresponding taxonomy classification?
The Ian B Petersen's field of specialization is Athletic Trainer, and it falls under the taxonomy code 2255A2300X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1255305850 to Ian B Petersen?
The Centers for Medicare & Medicaid Services assigned the 1255305850 to Ian B Petersen on 2006-02-13.
When was the Ian B Petersen's information last updated?
The Ian B Petersen's information was last updated on 2007-11-26.
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