Active NPIIndividual providerSole proprietor

Mr. Theodore J Smith, MS, ATC, CSCS

Specialist/Technologist, Athletic Trainer in New London, New Hampshire

NPI Number1578740783
Practice location
541 Main St, Stock Sports Medicine Clinic, New London, NH 03257-7818
Fax
—
Last updated
January 30, 2008

Theodore James Smith is a Specialist/Technologist, Athletic Trainer based in New London, NH. Theodore James Smith practices in New London, NH and has the professional credentials of MS, ATC, CSCS. The NPI Number for Theodore James Smith is 1578740783 and holds a License No. 0361 (NH). The current practice location address for Theodore James Smith is 541 Main St, Stock Sports Medicine Clinic, New London, NH 03257-7818 and can be reached out via phone at 603-526-3070.

Provider Profile Details

NPI Number
1578740783
Provider Name
Theodore James Smith
Credential
MS, ATC, CSCS
Provider Entity Type
Individual
Gender
Male
Address
541 Main St, Stock Sports Medicine Clinic, New London, NH 03257-7818
Phone Number
603-526-3070
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
Yes
Provider Enumeration Date
January 30, 2008
Last Update Date
January 30, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
541 Main St
Stock Sports Medicine Clinic
New London, NH 03257-7818
Zip
03257-7818
Phone Number
603-526-3070
New London, NH 03257Get directions →

Provider Business Mailing Address Details

Address
541 Main St
Stock Sports Medicine Clinic
New London, NH 03257-7818
City
New London
State
NH
Zip
03257-7818

License Information

License Number
0361
License State
NH
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 Mr. Theodore J Smith, MS, ATC, CSCS?

The NPI number of Mr. Theodore J Smith, MS, ATC, CSCS is 1578740783. It was assigned on January 30, 2008 and is currently active in the NPPES registry.

What is the specialty of Mr. Theodore J Smith, MS, ATC, CSCS?

Mr. Theodore J Smith, MS, ATC, CSCS is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in NH under license number 0361.

Where does Mr. Theodore J Smith, MS, ATC, CSCS practice?

The practice location is 541 Main St, Stock Sports Medicine Clinic, New London, NH 03257-7818. The office can be reached at 603-526-3070 (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 1578740783 directly on the NPPES registry website.

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