Jerry L. Sullivan in Taylorville - Athletic Trainer
Jerry L. Sullivan - NPI 1306909551
Jerry L. Sullivan is a Athletic Trainer in Taylorville, Illinois. Jerry L. Sullivan practices all healthcare services and medical treatments related to Athletic Trainer. The NPI Number for Jerry L. Sullivan is 1306909551. The last update date is 2007-07-08.
Jerry L. Sullivan's current location address is 706 E Ash St, Taylorville, Illinois. You can contact this provider via phone number 2178242863. The mailing address for Jerry L. Sullivan is 706 E Ash St, Taylorville, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jerry L. Sullivan |
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Address | 706 E Ash St, Taylorville, Illinois |
Phone Number | 2178242863 |
Fax Number | |
Sole Proprietor | Y |
Credentials | ATC |
NPI Number Detail
NPI Number | 1306909551 |
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Provider Enumeration Date | 2006-12-19 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 706 E Ash St |
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City | Taylorville |
State | Illinois (IL) |
Post Code | 625681657 |
Phone Number | 2178242863 |
Fax Number |
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 identifier code issued to Jerry L. Sullivan by the Centers for Medicare & Medicaid Services?
The Jerry L. Sullivan has been assigned the NPI (National Provider Identifier) 1306909551. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Jerry L. Sullivan located?
The Jerry L. Sullivan is located at 706 E Ash St, Taylorville, IL 625681657.
What is the area of specialization for Jerry L. Sullivan, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jerry L. Sullivan is Athletic Trainer, and the corresponding taxonomy code that categorizes this area of expertise is 2255A2300X.
On what date did the Centers for Medicare & Medicaid Services issue the 1306909551 to Jerry L. Sullivan?
The Jerry L. Sullivan received its 1306909551 assignment from the Centers for Medicare & Medicaid Services on 2006-12-19.
As of what date was the information regarding Jerry L. Sullivan, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jerry L. Sullivan, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
NPI Number: 1881683084
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