Active NPIIndividual providerSole proprietor

Matthew Boillat, MA, ATC

Specialist/Technologist, Athletic Trainer in North Adams, Massachusetts

NPI Number1972901726
Practice location
375 Church St, North Adams, MA 01247-4124
Fax
413-662-5357
Last updated
December 10, 2014

Matthew Boillat is a Specialist/Technologist, Athletic Trainer based in North Adams, MA. Matthew Boillat practices in North Adams, MA and has the professional credentials of MA, ATC. The NPI Number for Matthew Boillat is 1972901726 and holds a License No. 1741 (MA). The current practice location address for Matthew Boillat is 375 Church St, North Adams, MA 01247-4124 and can be reached out via phone at 413-662-5414 and via fax at 413-662-5357.

Provider Profile Details

NPI Number
1972901726
Provider Name
Matthew Boillat
Credential
MA, ATC
Provider Entity Type
Individual
Gender
Male
Address
375 Church St, North Adams, MA 01247-4124
Phone Number
413-662-5414
Fax Number
413-662-5357
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
Yes
Provider Enumeration Date
December 10, 2014
Last Update Date
December 10, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
375 Church St
North Adams, MA 01247-4124
Zip
01247-4124
Phone Number
413-662-5414
Fax Number
413-662-5357
North Adams, MA 01247Get directions →

Provider Business Mailing Address Details

Address
240 Cross RD
Clarksburg, MA 01247-4618
City
Clarksburg
State
MA
Zip
01247-4618
Phone Number
413-652-0548

License Information

License Number
1741
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.

Other Specialist/Technologist, Athletic Trainers near North Adams, MA

View all Specialist/Technologist, Athletic Trainers in North Adams →

Frequently Asked Questions

What is the NPI number of Matthew Boillat, MA, ATC?

The NPI number of Matthew Boillat, MA, ATC is 1972901726. It was assigned on December 10, 2014 and is currently active in the NPPES registry.

What is the specialty of Matthew Boillat, MA, ATC?

Matthew Boillat, MA, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in MA under license number 1741.

Where does Matthew Boillat, MA, ATC practice?

The practice location is 375 Church St, North Adams, MA 01247-4124. The office can be reached at 413-662-5414 (phone) or 413-662-5357 (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 1972901726 directly on the NPPES registry website.

Browse related providers