Healthcare Provider Details

I. General information

NPI: 1972049823
Provider Name (Legal Business Name): FRANK ZILINEK ATC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/17/2017
Last Update Date: 01/17/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

687 ROUTE 9
CAPE MAY NJ
08204-4637
US

IV. Provider business mailing address

216 ROSEANN AVE
NORTH CAPE MAY NJ
08204-3455
US

V. Phone/Fax

Practice location:
  • Phone: 609-884-3475
  • Fax:
Mailing address:
  • Phone: 609-884-3475
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number25MT00037400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: