Stephen Michael Nickell in Cape Girardeau - Athletic Trainer
Stephen Michael Nickell - NPI 1740400407
Stephen Michael Nickell is a Athletic Trainer in Cape Girardeau, Missouri. Stephen Michael Nickell practices all healthcare services and medical treatments related to Athletic Trainer. The NPI Number for Stephen Michael Nickell is 1740400407. The last update date is 2014-04-04.
Stephen Michael Nickell's current location address is 2142 Kenneth Dr, Cape Girardeau, Missouri. You can contact this provider via phone number 9376314660. The mailing address for Stephen Michael Nickell is 2142 Kenneth Dr, Cape Girardeau, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephen Michael Nickell |
|---|---|
| Address | 2142 Kenneth Dr, Cape Girardeau, Missouri |
| Phone Number | 9376314660 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.A., ATC |
NPI Number Detail
| NPI Number | 1740400407 |
|---|---|
| Provider Enumeration Date | 2007-04-26 |
| Last Updated Date | 2014-04-04 |
Provider Mailing Address Detail
| Address | 2142 Kenneth Dr |
|---|---|
| City | Cape Girardeau |
| State | Missouri (MO) |
| Post Code | 637011863 |
| Phone Number | 9376314660 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Athletic Trainer |
|---|---|
| Taxonomy | 2255A2300X |
| Licence No | 2012028530 |
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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 Stephen Michael Nickell's 1740400407?
The Stephen Michael Nickell's NPI (National Provider Identifier) Number is 1740400407. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Stephen Michael Nickell located?
The Stephen Michael Nickell is located at 2142 Kenneth Dr, Cape Girardeau, MO 637011863.
What is the Stephen Michael Nickell's specialty and taxonomy code?
The Stephen Michael Nickell's specialty is Athletic Trainer, and the corresponding taxonomy code is 2255A2300X.
On what date did the Centers for Medicare & Medicaid Services assign the 1740400407 to Stephen Michael Nickell?
The Centers for Medicare & Medicaid Services assigned the 1740400407 to Stephen Michael Nickell on 2007-04-26.
As of what date were the Stephen Michael Nickell's details last updated?
The information pertaining to the Stephen Michael Nickell, including its address, specialty, and other details, was most recently updated on 2014-04-04.
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