Gustave Walter Younger in Nacogdoches - Athletic Trainer
Gustave Walter Younger - NPI 1770545113
Gustave Walter Younger is a Athletic Trainer in Nacogdoches, Texas. Gustave Walter Younger practices all healthcare services and medical treatments related to Athletic Trainer. The NPI Number for Gustave Walter Younger is 1770545113. The last update date is 2007-07-08.
Gustave Walter Younger's current location address is Stephen F. Austin State University, Nacogdoches, Texas. You can contact this provider via phone number 9364684550 and fax number 9364684052. The mailing address for Gustave Walter Younger is Stephen F. Austin State University, Nacogdoches, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gustave Walter Younger |
|---|---|
| Address | Stephen F. Austin State University, Nacogdoches, Texas |
| Phone Number | 9364684550 |
| Fax Number | 9364684052 |
| Sole Proprietor | N |
| Credentials | ATC, LAT |
NPI Number Detail
| NPI Number | 1770545113 |
|---|---|
| Provider Enumeration Date | 2006-04-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Stephen F. Austin State University |
|---|---|
| City | Nacogdoches |
| State | Texas (TX) |
| Post Code | 759620001 |
| Phone Number | 9364684550 |
| Fax Number | 9364684052 |
Provider's Primary Taxonomy Detail
| Speciality | Athletic Trainer |
|---|---|
| Taxonomy | 2255A2300X |
| Licence No | AT3062 |
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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 unique 10-digit identification code assigned to Gustave Walter Younger by the Centers for Medicare & Medicaid Services?
The Gustave Walter Younger has been issued the NPI (National Provider Identifier) 1770545113, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Gustave Walter Younger?
The Gustave Walter Younger is physically situated at Stephen F. Austin State University, in the city of Nacogdoches, state of TX, with the postal code 759620001.
What is the Gustave Walter Younger's area of specialization and corresponding taxonomy classification?
The Gustave Walter Younger's specialty field is Athletic Trainer, and it falls under the taxonomy code 2255A2300X, which categorizes healthcare providers based on their specialties.
On what date did Gustave Walter Younger receive its 1770545113 assignment from the Centers for Medicare & Medicaid Services?
The Gustave Walter Younger was assigned its 1770545113 on 2006-04-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Gustave Walter Younger most recently updated or revised?
The information pertaining to Gustave Walter Younger, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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