Dylan Church, LAT, ATC
Specialist/Technologist, Athletic Trainer in Spotswood, New Jersey
1902322167- Practice location
- 13 Goldsmith Dr, Spotswood, NJ 08884-1032
- Phone
- 908-239-9392
- Fax
- —
- Last updated
- August 19, 2017
Dylan Church is a Specialist/Technologist, Athletic Trainer based in Spotswood, NJ. Dylan Church practices in Spotswood, NJ and has the professional credentials of LAT, ATC. The NPI Number for Dylan Church is 1902322167 and holds a License No. 25MT00242600 (NJ). The current practice location address for Dylan Church is 13 Goldsmith Dr, Spotswood, NJ 08884-1032 and can be reached out via phone at 908-239-9392.
Provider Profile Details
- NPI Number
- 1902322167
- Provider Name
- Dylan Church
- Credential
- LAT, ATC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 13 Goldsmith Dr, Spotswood, NJ 08884-1032
- Phone Number
- 908-239-9392
- Primary Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 19, 2017
- Last Update Date
- August 19, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 13 Goldsmith Dr
Spotswood, NJ 08884-1032 - City
- Spotswood
- State
- New Jersey
- Zip
- 08884-1032
- Phone Number
- 908-239-9392
Provider Business Mailing Address Details
- Address
- 13 Goldsmith Dr
Spotswood, NJ 08884-1032 - City
- Spotswood
- State
- NJ
- Zip
- 08884-1032
License Information
- License Number
- 25MT00242600
- License State
- NJ
- 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 Dylan Church, LAT, ATC?
The NPI number of Dylan Church, LAT, ATC is 1902322167. It was assigned on August 19, 2017 and is currently active in the NPPES registry.
What is the specialty of Dylan Church, LAT, ATC?
Dylan Church, LAT, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in NJ under license number 25MT00242600.
Where does Dylan Church, LAT, ATC practice?
The practice location is 13 Goldsmith Dr, Spotswood, NJ 08884-1032. The office can be reached at 908-239-9392 (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 1902322167 directly on the NPPES registry website.