Shelley Lundin, ATC
Specialist/Technologist, Athletic Trainer in Providence, Rhode Island
1407243405- Practice location
- 235 Hope St, Omac Building, Providence, RI 02912-9090
- Phone
- 401-744-7436
- Fax
- 401-863-1156
- Last updated
- April 17, 2015
Shelley Lundin is a Specialist/Technologist, Athletic Trainer based in Providence, RI. Shelley Lundin practices in Providence, RI and has the professional credentials of ATC. The NPI Number for Shelley Lundin is 1407243405 and holds a License No. AT00202 (RI). The current practice location address for Shelley Lundin is 235 Hope St, Omac Building, Providence, RI 02912-9090 and can be reached out via phone at 401-744-7436 and via fax at 401-863-1156.
Provider Profile Details
- NPI Number
- 1407243405
- Provider Name
- Shelley Lundin
- Credential
- ATC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 235 Hope St, Omac Building, Providence, RI 02912-9090
- Phone Number
- 401-744-7436
- Fax Number
- 401-863-1156
- Primary Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 17, 2015
- Last Update Date
- April 17, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 235 Hope St
Omac Building
Providence, RI 02912-9090 - City
- Providence
- State
- Rhode Island
- Zip
- 02912-9090
- Phone Number
- 401-744-7436
- Fax Number
- 401-863-1156
Provider Business Mailing Address Details
- Address
- 38 Manhattan St
Providence, RI 02904-1117 - City
- Providence
- State
- RI
- Zip
- 02904-1117
- Phone Number
- 401-744-7436
- Fax Number
- 401-863-1156
License Information
- License Number
- AT00202
- License State
- RI
- 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 Providence, RI
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Frequently Asked Questions
What is the NPI number of Shelley Lundin, ATC?
The NPI number of Shelley Lundin, ATC is 1407243405. It was assigned on April 17, 2015 and is currently active in the NPPES registry.
What is the specialty of Shelley Lundin, ATC?
Shelley Lundin, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in RI under license number AT00202.
Where does Shelley Lundin, ATC practice?
The practice location is 235 Hope St, Omac Building, Providence, RI 02912-9090. The office can be reached at 401-744-7436 (phone) or 401-863-1156 (fax).
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 1407243405 directly on the NPPES registry website.