Jonathan Heeren, ATC, LAT, CSCS
Specialist/Technologist, Athletic Trainer in Kents Hill, Maine
1225750680- Practice location
- 1614 Main St, Kents Hill, ME 04349-4200
- Phone
- 207-949-6639
- Fax
- —
- Last updated
- September 13, 2022
Jonathan Heeren is a Specialist/Technologist, Athletic Trainer based in Kents Hill, ME. Jonathan Heeren practices in Kents Hill, ME and has the professional credentials of ATC, LAT, CSCS. The NPI Number for Jonathan Heeren is 1225750680 and holds a License No. AT574 (ME). The current practice location address for Jonathan Heeren is 1614 Main St, Kents Hill, ME 04349-4200 and can be reached out via phone at 207-949-6639.
Provider Profile Details
- NPI Number
- 1225750680
- Provider Name
- Jonathan Heeren
- Credential
- ATC, LAT, CSCS
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1614 Main St, Kents Hill, ME 04349-4200
- Phone Number
- 207-949-6639
- Primary Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 13, 2022
- Last Update Date
- September 13, 2022
- Certification Date
- September 13, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1614 Main St
Kents Hill, ME 04349-4200 - City
- Kents Hill
- State
- Maine
- Zip
- 04349-4200
- Phone Number
- 207-949-6639
Provider Business Mailing Address Details
- Address
- 1614 Main St
Kents Hill, ME 04349-4200 - City
- Kents Hill
- State
- ME
- Zip
- 04349-4200
- Phone Number
- 207-949-6639
License Information
- License Number
- AT574
- License State
- ME
- Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Specialist/Technologist, Athletic Trainers near Kents Hill, ME
View all Specialist/Technologist, Athletic Trainers in Kents Hill →Frequently Asked Questions
What is the NPI number of Jonathan Heeren, ATC, LAT, CSCS?
The NPI number of Jonathan Heeren, ATC, LAT, CSCS is 1225750680. It was assigned on September 13, 2022 and is currently active in the NPPES registry.
What is the specialty of Jonathan Heeren, ATC, LAT, CSCS?
Jonathan Heeren, ATC, LAT, CSCS is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in ME under license number AT574.
Where does Jonathan Heeren, ATC, LAT, CSCS practice?
The practice location is 1614 Main St, Kents Hill, ME 04349-4200. The office can be reached at 207-949-6639 (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 1225750680 directly on the NPPES registry website.