Sheldon Eric Wagner in La Crosse - Athletic Trainer
Sheldon Eric Wagner - NPI 1730174749
Sheldon Eric Wagner is a Athletic Trainer in La Crosse, Wisconsin. Sheldon Eric Wagner practices all healthcare services and medical treatments related to Athletic Trainer. The NPI Number for Sheldon Eric Wagner is 1730174749. The last update date is 2007-07-08.
Sheldon Eric Wagner's current location address is 455 19th St S, La Crosse, Wisconsin. You can contact this provider via phone number 6087960111. The mailing address for Sheldon Eric Wagner is 455 19th St S, La Crosse, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sheldon Eric Wagner |
|---|---|
| Address | 455 19th St S, La Crosse, Wisconsin |
| Phone Number | 6087960111 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | ATC |
NPI Number Detail
| NPI Number | 1730174749 |
|---|---|
| Provider Enumeration Date | 2005-09-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 455 19th St S |
|---|---|
| City | La Crosse |
| State | Wisconsin (WI) |
| Post Code | 546015068 |
| Phone Number | 6087960111 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Athletic Trainer |
|---|---|
| Taxonomy | 2255A2300X |
| Licence No | 252-039 |
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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 provider identifier assigned to Sheldon Eric Wagner?
The Sheldon Eric Wagner has been issued the NPI (National Provider Identifier) 1730174749 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Sheldon Eric Wagner is located?
The Sheldon Eric Wagner is situated at the following address: 455 19Th St S, La Crosse, WI, 546015068.
What is Sheldon Eric Wagner's specialized field of practice, and what is the corresponding taxonomy classification code?
The Sheldon Eric Wagner's area of specialization is Athletic Trainer, and the corresponding taxonomy code that categorizes this field of practice is 2255A2300X.
When did Sheldon Eric Wagner receive its 1730174749 assignment?
The Sheldon Eric Wagner was assigned its 1730174749 on 2005-09-15, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Sheldon Eric Wagner most recently updated or revised?
The details related to Sheldon Eric Wagner, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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