Active NPIIndividual providerSole proprietor

Alexander C Mellin, MS, ATC, LAT

Specialist/Technologist, Athletic Trainer in Lowell, Massachusetts

NPI Number1780224246
Practice location
Costello Athletic Center, 275 Riverside Street, Lowell, MA 01854
Fax
—
Last updated
January 13, 2020

Alexander C Mellin is a Specialist/Technologist, Athletic Trainer based in Lowell, MA. Alexander C Mellin practices in Lowell, MA and has the professional credentials of MS, ATC, LAT. The NPI Number for Alexander C Mellin is 1780224246 and holds a License No. 2000023944. The current practice location address for Alexander C Mellin is Costello Athletic Center, 275 Riverside Street, Lowell, MA 01854 and can be reached out via phone at 978-934-2373.

Provider Profile Details

NPI Number
1780224246
Provider Name
Alexander C Mellin
Credential
MS, ATC, LAT
Provider Entity Type
Individual
Gender
Male
Address
Costello Athletic Center, 275 Riverside Street, Lowell, MA 01854
Phone Number
978-934-2373
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
Yes
Provider Enumeration Date
January 13, 2020
Last Update Date
January 13, 2020
Certification Date
January 13, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
Costello Athletic Center
275 Riverside Street
Lowell, MA 01854
City
Lowell
Zip
01854
Phone Number
978-934-2373
Lowell, MA 01854Get directions →

Provider Business Mailing Address Details

Address
Costello Athletic Center
275 Riverside Street
Lowell, MA 01854
City
Lowell
State
MA
Zip
01854

License Information

License Number
2000023944
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 Alexander C Mellin, MS, ATC, LAT?

The NPI number of Alexander C Mellin, MS, ATC, LAT is 1780224246. It was assigned on January 13, 2020 and is currently active in the NPPES registry.

What is the specialty of Alexander C Mellin, MS, ATC, LAT?

Alexander C Mellin, MS, ATC, LAT is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed under license number 2000023944.

Where does Alexander C Mellin, MS, ATC, LAT practice?

The practice location is Costello Athletic Center, 275 Riverside Street, Lowell, MA 01854. The office can be reached at 978-934-2373 (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 1780224246 directly on the NPPES registry website.

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