Active NPIIndividual providerSole proprietor

David Botelho, ATC

Specialist/Technologist, Athletic Trainer in Northfield, Vermont

NPI Number1073656294
Practice location
158 Harmon Dr, Norwich University, Northfield, VT 05663-1000
Fax
802-485-2234
Last updated
July 8, 2007

David Botelho is a Specialist/Technologist, Athletic Trainer based in Northfield, VT. David Botelho practices in Northfield, VT and has the professional credentials of ATC. The NPI Number for David Botelho is 1073656294 and holds a License No. 104-0000028 (VT). The current practice location address for David Botelho is 158 Harmon Dr, Norwich University, Northfield, VT 05663-1000 and can be reached out via phone at 802-485-2236 and via fax at 802-485-2234.

Provider Profile Details

NPI Number
1073656294
Provider Name
David Botelho
Credential
ATC
Provider Entity Type
Individual
Gender
Male
Address
158 Harmon Dr, Norwich University, Northfield, VT 05663-1000
Phone Number
802-485-2236
Fax Number
802-485-2234
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
Yes
Provider Enumeration Date
February 15, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
158 Harmon Dr
Norwich University
Northfield, VT 05663-1000
State
Vermont
Zip
05663-1000
Phone Number
802-485-2236
Fax Number
802-485-2234
Northfield, VT 05663Get directions →

Provider Business Mailing Address Details

Address
25 Woods End Dr
Essex Junction, VT 05452-4731
City
Essex Junction
State
VT
Zip
05452-4731

License Information

License Number
104-0000028
License State
VT
Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary

Legacy Identifiers

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

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Frequently Asked Questions

What is the NPI number of David Botelho, ATC?

The NPI number of David Botelho, ATC is 1073656294. It was assigned on February 15, 2007 and is currently active in the NPPES registry.

What is the specialty of David Botelho, ATC?

David Botelho, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in VT under license number 104-0000028.

Where does David Botelho, ATC practice?

The practice location is 158 Harmon Dr, Norwich University, Northfield, VT 05663-1000. The office can be reached at 802-485-2236 (phone) or 802-485-2234 (fax).

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 1073656294 directly on the NPPES registry website.

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