Mr. Mark D Legacy, MED, ATC
Specialist/Technologist, Athletic Trainer in Plymouth, New Hampshire
1265577100- Practice location
- 17 High St # 32 Msc #, Pe Center Plymouth State University, Plymouth, NH 03264-1595
- Phone
- 603-535-2757
- Fax
- —
- Last updated
- July 8, 2007
Mark David Legacy is a Specialist/Technologist, Athletic Trainer based in Plymouth, NH. Mark David Legacy practices in Plymouth, NH and has the professional credentials of MED, ATC. The NPI Number for Mark David Legacy is 1265577100 and holds a License No. 0003 (NH). The current practice location address for Mark David Legacy is 17 High St # 32 Msc #, Pe Center Plymouth State University, Plymouth, NH 03264-1595 and can be reached out via phone at 603-535-2757.
Provider Profile Details
- NPI Number
- 1265577100
- Provider Name
- Mark David Legacy
- Credential
- MED, ATC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 17 High St # 32 Msc #, Pe Center Plymouth State University, Plymouth, NH 03264-1595
- Phone Number
- 603-535-2757
- Primary Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 20, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 17 High St # 32 Msc #
Pe Center Plymouth State University
Plymouth, NH 03264-1595 - City
- Plymouth
- State
- New Hampshire
- Zip
- 03264-1595
- Phone Number
- 603-535-2757
Provider Business Mailing Address Details
- Address
- 17 High St # 32 Msc #
Pe Center Plymouth State University
Plymouth, NH 03264-1595 - City
- Plymouth
- State
- NH
- Zip
- 03264-1595
- Phone Number
- 603-535-2757
License Information
- License Number
- 0003
- License State
- NH
- 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. | |||
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Frequently Asked Questions
What is the NPI number of Mr. Mark D Legacy, MED, ATC?
The NPI number of Mr. Mark D Legacy, MED, ATC is 1265577100. It was assigned on February 20, 2007 and is currently active in the NPPES registry.
What is the specialty of Mr. Mark D Legacy, MED, ATC?
Mr. Mark D Legacy, MED, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in NH under license number 0003.
Where does Mr. Mark D Legacy, MED, ATC practice?
The practice location is 17 High St # 32 Msc #, Pe Center Plymouth State University, Plymouth, NH 03264-1595. The office can be reached at 603-535-2757 (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 1265577100 directly on the NPPES registry website.