Birgit Petra Ickenroth in Pitman - Athletic Trainer
Birgit Petra Ickenroth - NPI 1932217098
Birgit Petra Ickenroth is a Athletic Trainer in Pitman, New Jersey. Birgit Petra Ickenroth practices all healthcare services and medical treatments related to Athletic Trainer. The NPI Number for Birgit Petra Ickenroth is 1932217098. The last update date is 2007-07-08.
Birgit Petra Ickenroth's current location address is 339 Legion Ct # A, Pitman, New Jersey. You can contact this provider via phone number 8565829110. The mailing address for Birgit Petra Ickenroth is 339 Legion Ct # A, Pitman, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Birgit Petra Ickenroth |
|---|---|
| Address | 339 Legion Ct # A, Pitman, New Jersey |
| Phone Number | 8565829110 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | A.T.C. |
NPI Number Detail
| NPI Number | 1932217098 |
|---|---|
| Provider Enumeration Date | 2006-08-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 339 Legion Ct # A |
|---|---|
| City | Pitman |
| State | New Jersey (NJ) |
| Post Code | 80712435 |
| Phone Number | 8565829110 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Athletic Trainer |
|---|---|
| Taxonomy | 2255A2300X |
| Licence No | 25MT00068800 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PROVIDER CODE 2 | NJ | PROVIDER CODE |
Post Comment/ Review Below
What is the Birgit Petra Ickenroth's 1932217098?
The Birgit Petra Ickenroth's NPI (National Provider Identifier) Number is 1932217098. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Birgit Petra Ickenroth is geographically located?
The Birgit Petra Ickenroth is physically situated at the following location: 339 Legion Ct # A, Pitman, NJ, 80712435.
What is the Birgit Petra Ickenroth's specialty and taxonomy code?
The Birgit Petra Ickenroth's specialty is Athletic Trainer, and the corresponding taxonomy code is 2255A2300X.
On what date did the Centers for Medicare & Medicaid Services issue the 1932217098 to Birgit Petra Ickenroth?
The Birgit Petra Ickenroth received its 1932217098 assignment from the Centers for Medicare & Medicaid Services on 2006-08-29.
When was the information pertaining to Birgit Petra Ickenroth most recently updated or revised?
The details related to Birgit Petra Ickenroth, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.