Steven Bandtlow, MS, ATC
Specialist/Technologist, Athletic Trainer in New London, Connecticut
1457998510- Practice location
- 270 Mohegan Ave, New London, CT 06320-4125
- Phone
- 806-439-2086
- Fax
- —
- Last updated
- December 6, 2019
Steven Bandtlow is a Specialist/Technologist, Athletic Trainer based in New London, CT. Steven Bandtlow practices in New London, CT and has the professional credentials of MS, ATC. The NPI Number for Steven Bandtlow is 1457998510 and holds a License No. 000813 (CT). The current practice location address for Steven Bandtlow is 270 Mohegan Ave, New London, CT 06320-4125 and can be reached out via phone at 806-439-2086.
Provider Profile Details
- NPI Number
- 1457998510
- Provider Name
- Steven Bandtlow
- Credential
- MS, ATC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 270 Mohegan Ave, New London, CT 06320-4125
- Phone Number
- 806-439-2086
- Primary Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 6, 2019
- Last Update Date
- December 6, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 270 Mohegan Ave
New London, CT 06320-4125 - City
- New London
- State
- Connecticut
- Zip
- 06320-4125
- Phone Number
- 806-439-2086
Provider Business Mailing Address Details
- Address
- 955 Glastonbury Tpke
Portland, CT 06480-1029 - City
- Portland
- State
- CT
- Zip
- 06480-1029
- Phone Number
- 860-550-2924
License Information
- License Number
- 000813
- License State
- CT
- 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 Steven Bandtlow, MS, ATC?
The NPI number of Steven Bandtlow, MS, ATC is 1457998510. It was assigned on December 6, 2019 and is currently active in the NPPES registry.
What is the specialty of Steven Bandtlow, MS, ATC?
Steven Bandtlow, MS, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in CT under license number 000813.
Where does Steven Bandtlow, MS, ATC practice?
The practice location is 270 Mohegan Ave, New London, CT 06320-4125. The office can be reached at 806-439-2086 (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 1457998510 directly on the NPPES registry website.