James R Beversdorf in Green Bay - Athletic Trainer
James R Beversdorf - NPI 1073508743
James R Beversdorf is a Athletic Trainer in Green Bay, Wisconsin. James R Beversdorf practices all healthcare services and medical treatments related to Athletic Trainer. The NPI Number for James R Beversdorf is 1073508743. The last update date is 2007-07-08.
James R Beversdorf's current location address is 215 N Webster Ave, Green Bay, Wisconsin. You can contact this provider via phone number 9204304750. The mailing address for James R Beversdorf is 215 N Webster Ave, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James R Beversdorf |
|---|---|
| Address | 215 N Webster Ave, Green Bay, Wisconsin |
| Phone Number | 9204304750 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LAT, CSCS, |
NPI Number Detail
| NPI Number | 1073508743 |
|---|---|
| Provider Enumeration Date | 2005-09-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 215 N Webster Ave |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543014813 |
| Phone Number | 9204304750 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Athletic Trainer |
|---|---|
| Taxonomy | 2255A2300X |
| Licence No | 24-039 |
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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 identification code assigned to James R Beversdorf by the Centers for Medicare & Medicaid Services?
The James R Beversdorf has been issued the NPI (National Provider Identifier) 1073508743. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where James R Beversdorf's facilities are situated?
The facilities of James R Beversdorf are physically located at the following address: 215 N Webster Ave, Green Bay, WI, 543014813.
What is James R Beversdorf's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for James R Beversdorf is Athletic Trainer, and the corresponding taxonomy classification code for this specialized field is 2255A2300X.
On what date did the Centers for Medicare & Medicaid Services issue the 1073508743 to James R Beversdorf?
The James R Beversdorf received its 1073508743 assignment from the Centers for Medicare & Medicaid Services on 2005-09-19.
As of what date was the information regarding James R Beversdorf, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to James R Beversdorf, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
NPI Number: 1104829308
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