Timothy Robert Koberna in Holland - Athletic Trainer
Timothy Robert Koberna - NPI 1750407359
Timothy Robert Koberna is a Athletic Trainer in Holland, Michigan. Timothy Robert Koberna practices all healthcare services and medical treatments related to Athletic Trainer. The NPI Number for Timothy Robert Koberna is 1750407359. The last update date is 2015-01-20.
Timothy Robert Koberna's current location address is 222 Fairbanks Ave, Holland, Michigan. You can contact this provider via phone number 6163957705 and fax number 6163957087. The mailing address for Timothy Robert Koberna is 222 Fairbanks Ave, Holland, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy Robert Koberna |
|---|---|
| Address | 222 Fairbanks Ave, Holland, Michigan |
| Phone Number | 6163957705 |
| Fax Number | 6163957087 |
| Sole Proprietor | Y |
| Credentials | ATC |
NPI Number Detail
| NPI Number | 1750407359 |
|---|---|
| Provider Enumeration Date | 2007-03-22 |
| Last Updated Date | 2015-01-20 |
Provider Mailing Address Detail
| Address | 222 Fairbanks Ave |
|---|---|
| City | Holland |
| State | Michigan (MI) |
| Post Code | 494233735 |
| Phone Number | 6163957705 |
| Fax Number | 6163957087 |
Provider's Primary Taxonomy Detail
| Speciality | Athletic Trainer |
|---|---|
| Taxonomy | 2255A2300X |
| Licence No | 2601001150 |
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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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Post Comment/ Review Below
What is the unique identifier code issued to Timothy Robert Koberna by the Centers for Medicare & Medicaid Services?
The Timothy Robert Koberna has been assigned the NPI (National Provider Identifier) 1750407359. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Timothy Robert Koberna is physically located?
The Timothy Robert Koberna is situated at the following address: 222 Fairbanks Ave, Holland, MI 494233735.
What is Timothy Robert Koberna's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Timothy Robert Koberna's specialized field of practice is Athletic Trainer, and the corresponding taxonomy code that categorizes this area of specialization is 2255A2300X.
On what date did the Timothy Robert Koberna receive its 1750407359 assignment from the Centers for Medicare & Medicaid Services?
The Timothy Robert Koberna was assigned its 1750407359 by the Centers for Medicare & Medicaid Services on 2007-03-22.
When was the information pertaining to Timothy Robert Koberna most recently updated or revised?
The details related to Timothy Robert Koberna, including its address, specialty, and other relevant information, were last updated or revised on 2015-01-20.
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