Douglas D Grovergrys in Madison - Athletic Trainer

Douglas D Grovergrys - NPI 1083631840

Douglas D Grovergrys is a Athletic Trainer in Madison, Wisconsin. Douglas D Grovergrys practices all healthcare services and medical treatments related to Athletic Trainer. The NPI Number for Douglas D Grovergrys is 1083631840. The last update date is 2007-07-08.

Douglas D Grovergrys's current location address is 8042 Watts Road, Madison, Wisconsin. You can contact this provider via phone number 6082611761. The mailing address for Douglas D Grovergrys is 8042 Watts Road, Madison, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Douglas D Grovergrys
Address 8042 Watts Road, Madison, Wisconsin
Phone Number 6082611761
Fax Number
Sole Proprietor Y
Credentials --

NPI Number Detail

NPI Number 1083631840
Provider Enumeration Date 2006-07-17
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 8042 Watts Road
City Madison
State Wisconsin (WI)
Post Code 537190001
Phone Number 6082611761
Fax Number

Provider's Primary Taxonomy Detail

Speciality Athletic Trainer
Taxonomy 2255A2300X
Licence No 268-039
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
268-039 WI ATHLETIC TRAINER
9516-024 WI PT

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FAQs about Douglas D Grovergrys

What is the Douglas D Grovergrys's 1083631840?

The Douglas D Grovergrys's NPI (National Provider Identifier) Number is 1083631840. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Douglas D Grovergrys is physically located?

The Douglas D Grovergrys is situated at the following address: 8042 Watts Road, Madison, WI 537190001.

What is Douglas D Grovergrys's specialized field of practice, and what is the corresponding taxonomy classification code?

The Douglas D Grovergrys's area of specialization is Athletic Trainer, and the corresponding taxonomy code that categorizes this field of practice is 2255A2300X.

On what date did the Centers for Medicare & Medicaid Services issue the 1083631840 to Douglas D Grovergrys?

The Douglas D Grovergrys received its 1083631840 assignment from the Centers for Medicare & Medicaid Services on 2006-07-17.

When was the information regarding Douglas D Grovergrys, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Douglas D Grovergrys, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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