Active NPIIndividual provider

David J Mcdermott, ATC

Specialist/Technologist, Athletic Trainer in Camp Lejuene, North Carolina

NPI Number1114434032
Practice location
Bldg. H1 Julian C Smith RD.,, Camp Lejuene, NC 28547
Fax
—
Last updated
April 26, 2019

David John Mcdermott is a Specialist/Technologist, Athletic Trainer based in Camp Lejuene, NC. David John Mcdermott practices in Camp Lejuene, NC and has the professional credentials of ATC. The NPI Number for David John Mcdermott is 1114434032 and holds a License No. AT623 (ME). The current practice location address for David John Mcdermott is Bldg. H1 Julian C Smith RD.,, Camp Lejuene, NC 28547 and can be reached out via phone at 207-316-7134.

Provider Profile Details

NPI Number
1114434032
Provider Name
David John Mcdermott
Credential
ATC
Provider Entity Type
Individual
Gender
Male
Address
Bldg. H1 Julian C Smith RD.,, Camp Lejuene, NC 28547
Phone Number
207-316-7134
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
No
Provider Enumeration Date
December 30, 2017
Last Update Date
April 26, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
Bldg. H1 Julian C Smith RD.,
Camp Lejuene, NC 28547
Zip
28547
Phone Number
207-316-7134
Camp Lejuene, NC 28547Get directions →

Provider Business Mailing Address Details

Address
19 St Joseph St Apt 102
Fort Kent, ME 04743-1172
City
Fort Kent
State
ME
Zip
04743-1172
Phone Number
207-316-7134

License Information

License Number
AT623
License State
ME
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 J Mcdermott, ATC?

The NPI number of David J Mcdermott, ATC is 1114434032. It was assigned on December 30, 2017 and is currently active in the NPPES registry.

What is the specialty of David J Mcdermott, ATC?

David J Mcdermott, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in ME under license number AT623.

Where does David J Mcdermott, ATC practice?

The practice location is Bldg. H1 Julian C Smith RD.,, Camp Lejuene, NC 28547. The office can be reached at 207-316-7134 (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 1114434032 directly on the NPPES registry website.

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