Mark Ehren Shires in Crofton - Athletic Trainer
Mark Ehren Shires - NPI 1730173097
Mark Ehren Shires is a Athletic Trainer in Crofton, Maryland. Mark Ehren Shires practices all healthcare services and medical treatments related to Athletic Trainer. The NPI Number for Mark Ehren Shires is 1730173097. The last update date is 2007-07-08.
Mark Ehren Shires's current location address is 1806 Reynolds Ct, Crofton, Maryland. You can contact this provider via phone number 4103208503. The mailing address for Mark Ehren Shires is 1806 Reynolds Ct, Crofton, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Ehren Shires |
|---|---|
| Address | 1806 Reynolds Ct, Crofton, Maryland |
| Phone Number | 4103208503 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | ATC |
NPI Number Detail
| NPI Number | 1730173097 |
|---|---|
| Provider Enumeration Date | 2005-09-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1806 Reynolds Ct |
|---|---|
| City | Crofton |
| State | Maryland (MD) |
| Post Code | 211142610 |
| Phone Number | 4103208503 |
| 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 assigned to Mark Ehren Shires by the Centers for Medicare & Medicaid Services?
The Mark Ehren Shires has been issued the NPI (National Provider Identifier) 1730173097, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
What is the Mark Ehren Shires's area of specialization and corresponding taxonomy classification?
The Mark Ehren Shires's specialty field is Athletic Trainer, and it falls under the taxonomy code 2255A2300X, which categorizes healthcare providers based on their specialties.
What is Mark Ehren Shires's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mark Ehren Shires is Athletic Trainer, and the taxonomy code that categorizes this field of expertise is 2255A2300X.
On what date did the Mark Ehren Shires receive its 1730173097 assignment from the Centers for Medicare & Medicaid Services?
The Mark Ehren Shires was assigned its 1730173097 by the Centers for Medicare & Medicaid Services on 2005-09-01.
As of what date were the details related to Mark Ehren Shires most recently updated or revised?
The information pertaining to Mark Ehren Shires, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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