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NPI Code Detail

MEDICARE: MEGAN BELLE WARNE ATC

MEDICARE: MEGAN BELLE WARNE ATC
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 TrainerAT001738WV

General Provider Information

NPI Number : 1811402548
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN BELLE WARNE ATC
Provider Business Mailing Address
First Line : 2404 MADISON AVE APT 2
Second Line :
City : POINT PLEASANT
State : WV
Zip : 25550-1514
Country : US
Telephone Number : 740-630-3138
Fax Number :
Provider Business Practice Location Address
First Line : 2520 VALLEY DR
Second Line :
City : POINT PLEASANT
State : WV
Zip : 25550-2092
Country : US
Telephone Number : 304-675-4340
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2017
Last Update Date : 09/19/2020

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Directions to “ MEGAN BELLE WARNE ATC” Practice Location

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