Jeanette Marie De Witt in Mount Pleasant - Athletic Trainer
Jeanette Marie De Witt - NPI 1528087442
Jeanette Marie De Witt is a Athletic Trainer in Mount Pleasant, Wisconsin. Jeanette Marie De Witt practices all healthcare services and medical treatments related to Athletic Trainer. The NPI Number for Jeanette Marie De Witt is 1528087442. The last update date is 2017-03-01.
Jeanette Marie De Witt's current location address is 6233 Bankers Rd Ste 12, Mount Pleasant, Wisconsin. You can contact this provider via phone number 2623586730 and fax number 8662458064. The mailing address for Jeanette Marie De Witt is 6233 Bankers Rd Ste 12, Mount Pleasant, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeanette Marie De Witt |
|---|---|
| Address | 6233 Bankers Rd Ste 12, Mount Pleasant, Wisconsin |
| Phone Number | 2623586730 |
| Fax Number | 8662458064 |
| Sole Proprietor | N |
| Credentials | PT, ATC |
NPI Number Detail
| NPI Number | 1528087442 |
|---|---|
| Provider Enumeration Date | 2006-07-19 |
| Last Updated Date | 2017-03-01 |
Provider Mailing Address Detail
| Address | 6233 Bankers Rd Ste 12 |
|---|---|
| City | Mount Pleasant |
| State | Wisconsin (WI) |
| Post Code | 534039700 |
| Phone Number | 2623586730 |
| Fax Number | 8662458064 |
Provider's Primary Taxonomy Detail
| Speciality | Athletic Trainer |
|---|---|
| Taxonomy | 2255A2300X |
| Licence No | 1315-39 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 859400073 | WI | MEDICARE | |
| 1528087442 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jeanette Marie De Witt by the Centers for Medicare & Medicaid Services?
The Jeanette Marie De Witt has been issued the NPI (National Provider Identifier) 1528087442 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Jeanette Marie De Witt's facilities are geographically located?
The facilities of Jeanette Marie De Witt are physically situated at the following location: 6233 Bankers Rd Ste 12, Mount Pleasant, WI, 534039700.
What is Jeanette Marie De Witt's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jeanette Marie De Witt is Athletic Trainer, and the taxonomy classification code that categorizes this area of expertise is 2255A2300X.
On what date did the Jeanette Marie De Witt receive its 1528087442 assignment from the Centers for Medicare & Medicaid Services?
The Jeanette Marie De Witt was assigned its 1528087442 by the Centers for Medicare & Medicaid Services on 2006-07-19.
As of what date were the details pertaining to Jeanette Marie De Witt last refreshed?
The information related to the Jeanette Marie De Witt, including its address, specialty, and other relevant details, was last updated on 2017-03-01.
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