Active NPIIndividual provider

Mr. Bryan A Ehnstrom, ATC

Specialist/Technologist, Athletic Trainer in Cranford, New Jersey

NPI Number1609937036
Practice location
1033 Springfield Ave, Cranford, NJ 07016-1528
Fax
—
Last updated
July 8, 2007

Bryan Andrew Ehnstrom is a Specialist/Technologist, Athletic Trainer based in Cranford, NJ. Bryan Andrew Ehnstrom practices in Cranford, NJ and has the professional credentials of ATC. The NPI Number for Bryan Andrew Ehnstrom is 1609937036 and holds a License No. 25MT00136200 (NJ). The current practice location address for Bryan Andrew Ehnstrom is 1033 Springfield Ave, Cranford, NJ 07016-1528 and can be reached out via phone at 908-497-4368.

Provider Profile Details

NPI Number
1609937036
Provider Name
Bryan Andrew Ehnstrom
Credential
ATC
Provider Entity Type
Individual
Gender
Male
Address
1033 Springfield Ave, Cranford, NJ 07016-1528
Phone Number
908-497-4368
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
No
Provider Enumeration Date
December 12, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
1033 Springfield Ave
Cranford, NJ 07016-1528
Zip
07016-1528
Phone Number
908-497-4368
Cranford, NJ 07016Get directions →

Provider Business Mailing Address Details

Address
711 Colonial Arms RD
Union, NJ 07083-7607
City
Union
State
NJ
Zip
07083-7607
Phone Number
609-290-3436

License Information

License Number
25MT00136200
License State
NJ
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. Bryan A Ehnstrom, ATC?

The NPI number of Mr. Bryan A Ehnstrom, ATC is 1609937036. It was assigned on December 12, 2006 and is currently active in the NPPES registry.

What is the specialty of Mr. Bryan A Ehnstrom, ATC?

Mr. Bryan A Ehnstrom, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in NJ under license number 25MT00136200.

Where does Mr. Bryan A Ehnstrom, ATC practice?

The practice location is 1033 Springfield Ave, Cranford, NJ 07016-1528. The office can be reached at 908-497-4368 (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 1609937036 directly on the NPPES registry website.

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