Andrew Hollinger, LAT, ATC

Key facts

NPI

1003211954

Entity type

Individual (NPI type 1)

Primary specialty

Athletic Trainer 2255A2300X

License

36002258A (IN)

Practice address

2886 N 100 E
Winchester, IN 47394-9084

Phone

(765) 546-0856

NPI assigned

Nov 4, 2014

Sex

Male

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 4, 2014.

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415059200000",
    "number": "1003211954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2886 N 100 E",
            "city": "WINCHESTER",
            "state": "IN",
            "postal_code": "473949084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2886 N 100 E",
            "city": "WINCHESTER",
            "state": "IN",
            "postal_code": "473949084",
            "telephone_number": "765-546-0856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLINGER",
        "first_name": "ANDREW",
        "credential": "LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-04",
        "last_updated": "2014-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IN",
            "license": "36002258A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Winchester, IN · Athletic Trainer in Indiana