Active NPIIndividual providerSole proprietor

Guy D Midure, ATC

Specialist/Technologist, Athletic Trainer in Mullica Hill, New Jersey

NPI Number1235247917
Practice location
625 Breakneck RD, Mullica Hill, NJ 08062-2421
Fax
—
Last updated
July 8, 2007

Guy D. Midure is a Specialist/Technologist, Athletic Trainer based in Mullica Hill, NJ. Guy D. Midure practices in Mullica Hill, NJ and has the professional credentials of ATC. The NPI Number for Guy D. Midure is 1235247917 and holds a License No. mt00807 (NJ). The current practice location address for Guy D. Midure is 625 Breakneck RD, Mullica Hill, NJ 08062-2421 and can be reached out via phone at 856-223-2778.

Provider Profile Details

NPI Number
1235247917
Provider Name
Guy D. Midure
Credential
ATC
Provider Entity Type
Individual
Gender
Male
Address
625 Breakneck RD, Mullica Hill, NJ 08062-2421
Phone Number
856-223-2778
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
Yes
Provider Enumeration Date
August 25, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
625 Breakneck RD
Mullica Hill, NJ 08062-2421
Zip
08062-2421
Phone Number
856-223-2778
Mullica Hill, NJ 08062Get directions →

Provider Business Mailing Address Details

Address
210 S 3RD St
Waterford Works, NJ 08089-2230
City
Waterford Works
State
NJ
Zip
08089-2230
Phone Number
856-768-3693

License Information

License Number
mt00807
License State
NJ
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 Guy D Midure, ATC?

The NPI number of Guy D Midure, ATC is 1235247917. It was assigned on August 25, 2006 and is currently active in the NPPES registry.

What is the specialty of Guy D Midure, ATC?

Guy D Midure, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in NJ under license number mt00807.

Where does Guy D Midure, ATC practice?

The practice location is 625 Breakneck RD, Mullica Hill, NJ 08062-2421. The office can be reached at 856-223-2778 (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 1235247917 directly on the NPPES registry website.

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