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NPI Code Detail

MEDICARE: MR. AARON MATTHEW SCHLOTTERBECK ATC, LAT

MEDICARE: MR. AARON MATTHEW SCHLOTTERBECK ATC, LAT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12255A2300XAthletic TrainerAT.001678OH

General Provider Information

NPI Number : 1548226228
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. AARON MATTHEW SCHLOTTERBECK ATC, LAT
Provider Business Mailing Address
First Line : 404 BALDWIN AVE
Second Line :
City : FINDLAY
State : OH
Zip : 45840-2208
Country : US
Telephone Number : 419-425-8029
Fax Number :
Provider Business Practice Location Address
First Line : 7595 COUNTY ROAD 236
Second Line :
City : FINDLAY
State : OH
Zip : 45840-8738
Country : US
Telephone Number : 419-427-1984
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2006
Last Update Date : 06/10/2008

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