Mr. Jonathan D Drisko, ATC
Specialist/Technologist, Athletic Trainer in Northboro, Massachusetts
1659308815- Practice location
- 79 Bartlett St, Northboro, MA 01532-1657
- Phone
- 508-351-7010
- Fax
- 508-351-7005
- Last updated
- July 8, 2007
Jonathan D Drisko is a Specialist/Technologist, Athletic Trainer based in Northboro, MA. Jonathan D Drisko practices in Northboro, MA and has the professional credentials of ATC. The NPI Number for Jonathan D Drisko is 1659308815 and holds a License No. AT-1150 (MA). The current practice location address for Jonathan D Drisko is 79 Bartlett St, Northboro, MA 01532-1657 and can be reached out via phone at 508-351-7010 and via fax at 508-351-7005.
Provider Profile Details
- NPI Number
- 1659308815
- Provider Name
- Jonathan D Drisko
- Credential
- ATC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 79 Bartlett St, Northboro, MA 01532-1657
- Phone Number
- 508-351-7010
- Fax Number
- 508-351-7005
- Primary Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 26, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 79 Bartlett St
Northboro, MA 01532-1657 - City
- Northboro
- State
- Massachusetts
- Zip
- 01532-1657
- Phone Number
- 508-351-7010
- Fax Number
- 508-351-7005
Provider Business Mailing Address Details
- Address
- 108 W Main St
Westboro, MA 01581-3019 - City
- Westboro
- State
- MA
- Zip
- 01581-3019
- Phone Number
- 508-366-7602
License Information
- License Number
- AT-1150
- License State
- MA
- 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. Jonathan D Drisko, ATC?
The NPI number of Mr. Jonathan D Drisko, ATC is 1659308815. It was assigned on June 26, 2006 and is currently active in the NPPES registry.
What is the specialty of Mr. Jonathan D Drisko, ATC?
Mr. Jonathan D Drisko, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in MA under license number AT-1150.
Where does Mr. Jonathan D Drisko, ATC practice?
The practice location is 79 Bartlett St, Northboro, MA 01532-1657. The office can be reached at 508-351-7010 (phone) or 508-351-7005 (fax).
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 1659308815 directly on the NPPES registry website.