Mr. Joshua O Bellavance, MS, ATC, LAT
Specialist/Technologist, Athletic Trainer in South Burlington, Vermont
1619105020- Practice location
- 185 Tilley Dr, South Burlington, VT 05403-4484
- Phone
- 802-879-1703
- Fax
- —
- Last updated
- December 14, 2011
Joshua O Bellavance is a Specialist/Technologist, Athletic Trainer based in South Burlington, VT. Joshua O Bellavance practices in South Burlington, VT and has the professional credentials of MS, ATC, LAT. The NPI Number for Joshua O Bellavance is 1619105020 and holds a License No. 104-0000177 (VT). The current practice location address for Joshua O Bellavance is 185 Tilley Dr, South Burlington, VT 05403-4484 and can be reached out via phone at 802-879-1703.
Provider Profile Details
- NPI Number
- 1619105020
- Provider Name
- Joshua O Bellavance
- Credential
- MS, ATC, LAT
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 185 Tilley Dr, South Burlington, VT 05403-4484
- Phone Number
- 802-879-1703
- Primary Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 24, 2009
- Last Update Date
- December 14, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 185 Tilley Dr
South Burlington, VT 05403-4484 - City
- South Burlington
- State
- Vermont
- Zip
- 05403-4484
- Phone Number
- 802-879-1703
Provider Business Mailing Address Details
- Address
- 86 Pinecrest Dr Unit 10B
Essex Junction, VT 05452-4405 - City
- Essex Junction
- State
- VT
- Zip
- 05452-4405
License Information
- License Number
- 104-0000177
- License State
- VT
- 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 Mr. Joshua O Bellavance, MS, ATC, LAT?
The NPI number of Mr. Joshua O Bellavance, MS, ATC, LAT is 1619105020. It was assigned on June 24, 2009 and is currently active in the NPPES registry.
What is the specialty of Mr. Joshua O Bellavance, MS, ATC, LAT?
Mr. Joshua O Bellavance, MS, ATC, LAT is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in VT under license number 104-0000177.
Where does Mr. Joshua O Bellavance, MS, ATC, LAT practice?
The practice location is 185 Tilley Dr, South Burlington, VT 05403-4484. The office can be reached at 802-879-1703 (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 1619105020 directly on the NPPES registry website.