Active NPIIndividual providerSole proprietor

Mrs. Mariann Ingraham, ATC, LAT

Specialist/Technologist, Athletic Trainer in Chicopee, Massachusetts

NPI Number1487863932
Practice location
291 Springfield St, Chicopee, MA 01013-2837
Fax
—
Last updated
July 8, 2007

Mariann Ingraham is a Specialist/Technologist, Athletic Trainer based in Chicopee, MA. Mariann Ingraham practices in Chicopee, MA and has the professional credentials of ATC, LAT. The NPI Number for Mariann Ingraham is 1487863932 and holds a License No. 518 (MA). The current practice location address for Mariann Ingraham is 291 Springfield St, Chicopee, MA 01013-2837 and can be reached out via phone at 413-265-2318.

Provider Profile Details

NPI Number
1487863932
Provider Name
Mariann Ingraham
Credential
ATC, LAT
Provider Entity Type
Individual
Gender
Female
Address
291 Springfield St, Chicopee, MA 01013-2837
Phone Number
413-265-2318
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
Yes
Provider Enumeration Date
May 22, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
291 Springfield St
Chicopee, MA 01013-2837
Zip
01013-2837
Phone Number
413-265-2318
Chicopee, MA 01013Get directions →

Provider Business Mailing Address Details

Address
36 Easton St
Granby, MA 01033-9518
City
Granby
State
MA
Zip
01033-9518
Phone Number
413-467-3532

License Information

License Number
518
License State
MA
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 Mrs. Mariann Ingraham, ATC, LAT?

The NPI number of Mrs. Mariann Ingraham, ATC, LAT is 1487863932. It was assigned on May 22, 2007 and is currently active in the NPPES registry.

What is the specialty of Mrs. Mariann Ingraham, ATC, LAT?

Mrs. Mariann Ingraham, ATC, LAT is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in MA under license number 518.

Where does Mrs. Mariann Ingraham, ATC, LAT practice?

The practice location is 291 Springfield St, Chicopee, MA 01013-2837. The office can be reached at 413-265-2318 (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 1487863932 directly on the NPPES registry website.

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