Active NPIIndividual providerSole proprietor

Matthew J Bain, ATC, PES, SMTC, MDNC

Specialist/Technologist, Athletic Trainer in Colchester, Vermont

NPI Number1457637928
Practice location
186 Joey Dr, Colchester, VT 05446-3915
Fax
—
Last updated
June 7, 2022

Matthew James Bain is a Specialist/Technologist, Athletic Trainer based in Colchester, VT. Matthew James Bain practices in Colchester, VT and has the professional credentials of ATC, PES, SMTC, MDNC. The NPI Number for Matthew James Bain is 1457637928 and holds a License No. 104.0106915 (VT). The current practice location address for Matthew James Bain is 186 Joey Dr, Colchester, VT 05446-3915 and can be reached out via phone at 303-909-9489.

Provider Profile Details

NPI Number
1457637928
Provider Name
Matthew James Bain
Credential
ATC, PES, SMTC, MDNC
Provider Entity Type
Individual
Gender
Male
Address
186 Joey Dr, Colchester, VT 05446-3915
Phone Number
303-909-9489
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
Yes
Provider Enumeration Date
October 28, 2011
Last Update Date
June 7, 2022
Certification Date
June 7, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
186 Joey Dr
Colchester, VT 05446-3915
State
Vermont
Zip
05446-3915
Phone Number
303-909-9489
Colchester, VT 05446Get directions →

Provider Business Mailing Address Details

Address
186 Joey Dr
Colchester, VT 05446-3915
City
Colchester
State
VT
Zip
05446-3915
Phone Number
303-909-9489

License Information

License Number
104.0106915
License State
VT
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 Matthew J Bain, ATC, PES, SMTC, MDNC?

The NPI number of Matthew J Bain, ATC, PES, SMTC, MDNC is 1457637928. It was assigned on October 28, 2011 and is currently active in the NPPES registry.

What is the specialty of Matthew J Bain, ATC, PES, SMTC, MDNC?

Matthew J Bain, ATC, PES, SMTC, MDNC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in VT under license number 104.0106915.

Where does Matthew J Bain, ATC, PES, SMTC, MDNC practice?

The practice location is 186 Joey Dr, Colchester, VT 05446-3915. The office can be reached at 303-909-9489 (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 1457637928 directly on the NPPES registry website.

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