Stephanie Birch, ATC, EMT-B
Specialist/Technologist, Athletic Trainer in New London, Connecticut
1679204267- Practice location
- 437 Pequot Ave, New London, CT 06320-4498
- Phone
- 860-701-3518
- Fax
- —
- Last updated
- June 23, 2022
Stephanie Birch is a Specialist/Technologist, Athletic Trainer based in New London, CT. Stephanie Birch practices in New London, CT and has the professional credentials of ATC, EMT-B. The NPI Number for Stephanie Birch is 1679204267 and holds a License No. 007199 (CT). The current practice location address for Stephanie Birch is 437 Pequot Ave, New London, CT 06320-4498 and can be reached out via phone at 860-701-3518.
Provider Profile Details
- NPI Number
- 1679204267
- Provider Name
- Stephanie Birch
- Credential
- ATC, EMT-B
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 437 Pequot Ave, New London, CT 06320-4498
- Phone Number
- 860-701-3518
- Primary Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- June 23, 2022
- Last Update Date
- June 23, 2022
- Certification Date
- June 23, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 437 Pequot Ave
New London, CT 06320-4498 - City
- New London
- State
- Connecticut
- Zip
- 06320-4498
- Phone Number
- 860-701-3518
Provider Business Mailing Address Details
- Address
- 437 Pequot Ave
New London, CT 06320-4498 - City
- New London
- State
- CT
- Zip
- 06320-4498
- Phone Number
- 860-701-3518
License Information
- License Number (1)
- 007199
- License State (1)
- CT
- Taxonomy (1)
- Emergency Medical Technician, Basic · 146N00000X
- License Number (2)
- 000411
- License State (2)
- CT
- Taxonomy (2)
- 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. | |||
Other Specialist/Technologist, Athletic Trainers near New London, CT
View all Specialist/Technologist, Athletic Trainers in New London →- Ivan W AsikainenSpecialist/Technologist, Athletic Trainer · NPI 1669252300
- Steven Bandtlow, MS, ATCSpecialist/Technologist, Athletic Trainer · NPI 1457998510
- Janisha E AthertonCase Manager/Care Coordinator · NPI 1063319119
- Breanna Bohle, LCSWSocial Worker · NPI 1215771936
- Ms. Victoria G AvesonSurgery · NPI 1972966299
- Molly B CharlandBehavior Technician · NPI 1215832076
Frequently Asked Questions
What is the NPI number of Stephanie Birch, ATC, EMT-B?
The NPI number of Stephanie Birch, ATC, EMT-B is 1679204267. It was assigned on June 23, 2022 and is currently active in the NPPES registry.
What is the specialty of Stephanie Birch, ATC, EMT-B?
Stephanie Birch, ATC, EMT-B is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in CT under license number 007199.
Where does Stephanie Birch, ATC, EMT-B practice?
The practice location is 437 Pequot Ave, New London, CT 06320-4498. The office can be reached at 860-701-3518 (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 1679204267 directly on the NPPES registry website.