Active NPIIndividual providerSole proprietor

Patrick Jordan-Quern, ATC

Specialist/Technologist, Athletic Trainer in Newton, Massachusetts

NPI Number1659780252
Practice location
140 Brandeis RD, Newton, MA 02459-2745
Fax
—
Last updated
August 7, 2014

Patrick Jordan-Quern is a Specialist/Technologist, Athletic Trainer based in Newton, MA. Patrick Jordan-Quern practices in Newton, MA and has the professional credentials of ATC. The NPI Number for Patrick Jordan-Quern is 1659780252 and holds a License No. 2180 (MA). The current practice location address for Patrick Jordan-Quern is 140 Brandeis RD, Newton, MA 02459-2745 and can be reached out via phone at 617-559-6614.

Provider Profile Details

NPI Number
1659780252
Provider Name
Patrick Jordan-Quern
Credential
ATC
Provider Entity Type
Individual
Gender
Male
Address
140 Brandeis RD, Newton, MA 02459-2745
Phone Number
617-559-6614
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
Yes
Provider Enumeration Date
August 7, 2014
Last Update Date
August 7, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
140 Brandeis RD
Newton, MA 02459-2745
City
Newton
Zip
02459-2745
Phone Number
617-559-6614
Newton, MA 02459Get directions →

Provider Business Mailing Address Details

Address
140 Brandeis RD
Newton, MA 02459-2745
City
Newton
State
MA
Zip
02459-2745

License Information

License Number
2180
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 Patrick Jordan-Quern, ATC?

The NPI number of Patrick Jordan-Quern, ATC is 1659780252. It was assigned on August 7, 2014 and is currently active in the NPPES registry.

What is the specialty of Patrick Jordan-Quern, ATC?

Patrick Jordan-Quern, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in MA under license number 2180.

Where does Patrick Jordan-Quern, ATC practice?

The practice location is 140 Brandeis RD, Newton, MA 02459-2745. The office can be reached at 617-559-6614 (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 1659780252 directly on the NPPES registry website.

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