Active NPIIndividual provider

Michael J Metcalfe, MS, ATC, CSCS, CES

Specialist/Technologist, Athletic Trainer in Portland, Maine

NPI Number1235451311
Practice location
239 Park Ave, Portland, ME 04102-2911
Fax
—
Last updated
March 17, 2018

Michael John Metcalfe is a Specialist/Technologist, Athletic Trainer based in Portland, ME. Michael John Metcalfe practices in Portland, ME and has the professional credentials of MS, ATC, CSCS, CES. The NPI Number for Michael John Metcalfe is 1235451311 and holds a License No. 1911 (MN). The current practice location address for Michael John Metcalfe is 239 Park Ave, Portland, ME 04102-2911 and can be reached out via phone at 651-285-2478.

Provider Profile Details

NPI Number
1235451311
Provider Name
Michael John Metcalfe
Credential
MS, ATC, CSCS, CES
Provider Entity Type
Individual
Gender
Male
Address
239 Park Ave, Portland, ME 04102-2911
Phone Number
651-285-2478
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
No
Provider Enumeration Date
February 17, 2010
Last Update Date
March 17, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
239 Park Ave
Portland, ME 04102-2911
State
Maine
Zip
04102-2911
Phone Number
651-285-2478
Portland, ME 04102Get directions →

Provider Business Mailing Address Details

Address
550 Forest Ave Ste 102
Portland, ME 04101-1505
City
Portland
State
ME
Zip
04101-1505
Phone Number
651-285-2478

License Information

License Number (1)
1911
License State (1)
MN
License Number (2)
AT678
License State (2)
ME
Taxonomy (2)
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 Michael J Metcalfe, MS, ATC, CSCS, CES?

The NPI number of Michael J Metcalfe, MS, ATC, CSCS, CES is 1235451311. It was assigned on February 17, 2010 and is currently active in the NPPES registry.

What is the specialty of Michael J Metcalfe, MS, ATC, CSCS, CES?

Michael J Metcalfe, MS, ATC, CSCS, CES is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in MN under license number 1911.

Where does Michael J Metcalfe, MS, ATC, CSCS, CES practice?

The practice location is 239 Park Ave, Portland, ME 04102-2911. The office can be reached at 651-285-2478 (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 1235451311 directly on the NPPES registry website.

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