Claire Bonnoront, LAT, ATC
Individual provider Active NPI Athletic Trainer · Greenwood, SC
NPI 1023568797 · NPPES record last updated Aug 8, 2020
Key facts
- NPI
- 1023568797
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 320 Stanley Ave
Greenwood, SC 29649-2099 - Phone
- (937) 658-2212
- NPI assigned
- Oct 6, 2016
- Sex
- Female
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| SC529906 | SC | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | SC529906 | SC | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Athletic Trainer | 2255A2300X | Yes |
Addresses
Primary practice location
320 Stanley Ave
Greenwood, SC 29649-2099
Mailing address
125 Edinborough Cir Apt 4
Greenwood, SC 29649-1339
Phone (937) 658-2212
Other providers in Greenwood, SC
- Ryan Joseph Bolt
- Connie J Boltz
- John B Boltz
- Sophia Bonadies
- Juan Miguel Bonetti
- Carol C. Booker
- Akila Davis Boozer
- Stephen Andrew Boucher
- Margaret Maylon Bovard
- Stephan Phillip Bowe
All providers in Greenwood, SC · Athletic Trainer in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.