Mary E Derck is a Athletic Trainer in Toledo, Ohio. Mary E Derck practices all healthcare services and medical treatments related to Athletic Trainer. The NPI Number for Mary E Derck is 1104955889. The last update date is 2007-07-08.
Mary E Derck's current location address is 6602 Dorr St Apt 202, Toledo, Ohio. You can contact this provider via phone number 4195787530 and fax number 4195390288. The mailing address for Mary E Derck is 6602 Dorr St Apt 202, Toledo, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary E Derck |
|---|---|
| Address | 6602 Dorr St Apt 202, Toledo, Ohio |
| Phone Number | 4195787530 |
| Fax Number | 4195390288 |
| Sole Proprietor | N |
| Credentials | ATC |
NPI Number Detail
| NPI Number | 1104955889 |
|---|---|
| Provider Enumeration Date | 2007-03-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6602 Dorr St Apt 202 |
|---|---|
| City | Toledo |
| State | Ohio (OH) |
| Post Code | 436154238 |
| Phone Number | 4195787530 |
| Fax Number | 4195390288 |
Provider's Primary Taxonomy Detail
| Speciality | Athletic Trainer |
|---|---|
| Taxonomy | 2255A2300X |
| Licence No | AT.002401 |
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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 Mary E Derck by the Centers for Medicare & Medicaid Services?
The Mary E Derck has been assigned the NPI (National Provider Identifier) 1104955889. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Mary E Derck's facilities are situated?
The facilities of Mary E Derck are physically located at the following address: 6602 Dorr St Apt 202, Toledo, OH, 436154238.
What is Mary E Derck's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mary E Derck'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 Mary E Derck receive its 1104955889 assignment from the Centers for Medicare & Medicaid Services?
The Mary E Derck was assigned its 1104955889 on 2007-03-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Mary E Derck most recently updated?
The details pertaining to the Mary E Derck, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.