William G Peroutka in O Fallon - Athletic Trainer

William G Peroutka - NPI 1467565929

William G Peroutka is a Athletic Trainer in O Fallon, Missouri. William G Peroutka practices all healthcare services and medical treatments related to Athletic Trainer. The NPI Number for William G Peroutka is 1467565929. The last update date is 2008-01-17.

William G Peroutka's current location address is 939 Highway K, O Fallon, Missouri. You can contact this provider via phone number 6362407000 and fax number 6362407513. The mailing address for William G Peroutka is 939 Highway K, O Fallon, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name William G Peroutka
Address 939 Highway K, O Fallon, Missouri
Phone Number 6362407000
Fax Number 6362407513
Sole Proprietor N
Credentials M.P.T., A.

NPI Number Detail

NPI Number 1467565929
Provider Enumeration Date 2006-08-17
Last Updated Date 2008-01-17

Provider Mailing Address Detail

Address 939 Highway K
City O Fallon
State Missouri (MO)
Post Code 633662910
Phone Number 6362407000
Fax Number 6362407513

Provider's Primary Taxonomy Detail

Speciality Athletic Trainer
Taxonomy 2255A2300X
Licence No 2001014038
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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FAQs about William G Peroutka

What is the unique 10-digit identifier code assigned to William G Peroutka by the Centers for Medicare & Medicaid Services?

The William G Peroutka has been issued the NPI (National Provider Identifier) 1467565929 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where William G Peroutka's facilities are geographically located?

The facilities of William G Peroutka are physically situated at the following location: 939 Highway K, O Fallon, MO, 633662910.

What is William G Peroutka's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The William G Peroutka'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 William G Peroutka receive its 1467565929 assignment from the Centers for Medicare & Medicaid Services?

The William G Peroutka was assigned its 1467565929 on 2006-08-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to William G Peroutka most recently updated or refreshed?

The details pertaining to the William G Peroutka, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-01-17.

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