Mark Thomas Husen in Green Bay - Athletic Trainer
Mark Thomas Husen - NPI 1568456598
Mark Thomas Husen is a Athletic Trainer in Green Bay, Wisconsin. Mark Thomas Husen practices all healthcare services and medical treatments related to Athletic Trainer. The NPI Number for Mark Thomas Husen is 1568456598. The last update date is 2007-07-08.
Mark Thomas Husen's current location address is 1630 Commanche Ave, Green Bay, Wisconsin. You can contact this provider via phone number 9204304750 and fax number 9204304746. The mailing address for Mark Thomas Husen is 1630 Commanche Ave, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Thomas Husen |
|---|---|
| Address | 1630 Commanche Ave, Green Bay, Wisconsin |
| Phone Number | 9204304750 |
| Fax Number | 9204304746 |
| Sole Proprietor | X |
| Credentials | ATC, LAT |
NPI Number Detail
| NPI Number | 1568456598 |
|---|---|
| Provider Enumeration Date | 2005-09-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1630 Commanche Ave |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543135753 |
| Phone Number | 9204304750 |
| Fax Number | 9204304746 |
Provider's Primary Taxonomy Detail
| Speciality | Athletic Trainer |
|---|---|
| Taxonomy | 2255A2300X |
| Licence No | 86-039 |
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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 10-digit identification code assigned to Mark Thomas Husen by the Centers for Medicare & Medicaid Services?
The Mark Thomas Husen has been issued the NPI (National Provider Identifier) 1568456598, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Mark Thomas Husen located?
The Mark Thomas Husen is located at 1630 Commanche Ave, Green Bay, WI 543135753.
What is Mark Thomas Husen's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mark Thomas Husen 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 1568456598 to Mark Thomas Husen?
The Mark Thomas Husen received its 1568456598 assignment from the Centers for Medicare & Medicaid Services on 2005-09-06.
When was the information pertaining to Mark Thomas Husen most recently updated or revised?
The details related to Mark Thomas Husen, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.