Active NPIIndividual providerSole proprietor

Jeremy Norman, L, AT

Specialist/Technologist, Athletic Trainer in Uncasville, Connecticut

NPI Number1083004220
Practice location
1 Mohegan Sun Blvd, Uncasville, CT 06382-1355
Fax
—
Last updated
January 26, 2015

Jeremy Norman is a Specialist/Technologist, Athletic Trainer based in Uncasville, CT. Jeremy Norman practices in Uncasville, CT and has the professional credentials of L, AT. The NPI Number for Jeremy Norman is 1083004220 and holds a License No. 000107 (CT). The current practice location address for Jeremy Norman is 1 Mohegan Sun Blvd, Uncasville, CT 06382-1355 and can be reached out via phone at 860-862-4070.

Provider Profile Details

NPI Number
1083004220
Provider Name
Jeremy Norman
Credential
L, AT
Provider Entity Type
Individual
Gender
Male
Address
1 Mohegan Sun Blvd, Uncasville, CT 06382-1355
Phone Number
860-862-4070
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
Yes
Provider Enumeration Date
January 26, 2015
Last Update Date
January 26, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Mohegan Sun Blvd
Uncasville, CT 06382-1355
Zip
06382-1355
Phone Number
860-862-4070
Uncasville, CT 06382Get directions →

Provider Business Mailing Address Details

Address
32 Beacon Hill Dr
Waterford, CT 06385-4110
City
Waterford
State
CT
Zip
06385-4110
Phone Number
860-961-7280

License Information

License Number
000107
License State
CT
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 Jeremy Norman, L, AT?

The NPI number of Jeremy Norman, L, AT is 1083004220. It was assigned on January 26, 2015 and is currently active in the NPPES registry.

What is the specialty of Jeremy Norman, L, AT?

Jeremy Norman, L, AT is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in CT under license number 000107.

Where does Jeremy Norman, L, AT practice?

The practice location is 1 Mohegan Sun Blvd, Uncasville, CT 06382-1355. The office can be reached at 860-862-4070 (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 1083004220 directly on the NPPES registry website.

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