Active NPIIndividual providerSole proprietor

Jared W Degler, LAT ATC

Specialist/Technologist, Athletic Trainer in Hartford, Connecticut

NPI Number1043803752
Practice location
1 Civic Center Plz, Hartford, CT 06103-1504
Fax
—
Last updated
February 12, 2021

Jared William Degler is a Specialist/Technologist, Athletic Trainer based in Hartford, CT. Jared William Degler practices in Hartford, CT and has the professional credentials of LAT ATC. The NPI Number for Jared William Degler is 1043803752 and holds a License No. 54.. The current practice location address for Jared William Degler is 1 Civic Center Plz, Hartford, CT 06103-1504 and can be reached out via phone at 484-336-9956.

Provider Profile Details

NPI Number
1043803752
Provider Name
Jared William Degler
Credential
LAT ATC
Provider Entity Type
Individual
Gender
Male
Address
1 Civic Center Plz, Hartford, CT 06103-1504
Phone Number
484-336-9956
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
Yes
Provider Enumeration Date
February 12, 2021
Last Update Date
February 12, 2021
Certification Date
February 12, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Civic Center Plz
Hartford, CT 06103-1504
Zip
06103-1504
Phone Number
484-336-9956
Hartford, CT 06103Get directions →

Provider Business Mailing Address Details

Address
65 Berne RD
Hamburg, PA 19526-8910
City
Hamburg
State
PA
Zip
19526-8910
Phone Number
484-336-9956

License Information

License Number (1)
54.
License Number (2)
54.001502
License State (2)
CT
Taxonomy (2)
Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Specialist/Technologist, Athletic Trainers near Hartford, CT

View all Specialist/Technologist, Athletic Trainers in Hartford →

Frequently Asked Questions

What is the NPI number of Jared W Degler, LAT ATC?

The NPI number of Jared W Degler, LAT ATC is 1043803752. It was assigned on February 12, 2021 and is currently active in the NPPES registry.

What is the specialty of Jared W Degler, LAT ATC?

Jared W Degler, LAT ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed under license number 54..

Where does Jared W Degler, LAT ATC practice?

The practice location is 1 Civic Center Plz, Hartford, CT 06103-1504. The office can be reached at 484-336-9956 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043803752 directly on the NPPES registry website.

Browse related providers