Michael J Beckman
Individual provider Active NPI Athletic Trainer · Greenfield, WI
NPI 1043880495 · NPPES record last updated Jun 28, 2021
Key facts
- NPI
- 1043880495
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 2000041218 (WI)
- Practice address
- 4021 S 96TH St
Greenfield, WI 53228-2168 - Phone
- (414) 949-1453
- NPI assigned
- Jun 28, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 2000041218 | WI | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 2000041218 | WI | Yes |
Addresses
Primary practice location
4021 S 96TH St
Greenfield, WI 53228-2168
Mailing address
4021 S 96TH St
Greenfield, WI 53228-2168
Phone (414) 949-1453
Other providers in Greenfield, WI
- Paul L Bartsch
- Melissa Bartz
- Paige E Bauer
- Gloria Sue Beal
- Caylee Ann Beckman
- Amelia Lynn Behrend
- Rochelle Ann Beine
- Donna M Belanger
- Kayla Ann Bell
- Rosa Marie Bell
All providers in Greenfield, WI · Athletic Trainer in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2021. 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.