Jared Beier, MS, LAT, ATC
Individual provider Active NPI Athletic Trainer · Dover, DE
NPI 1083152151 · NPPES record last updated Feb 8, 2017
Key facts
- NPI
- 1083152151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- J3-0000672 (DE)
- Practice address
- 1288 S Governors Ave
Dover, DE 19904-4802 - Phone
- (302) 677-0100
- Fax
- (302) 677-0267
- NPI assigned
- Feb 8, 2017
- 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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J3-0000672 | DE | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | J3-0000672 | DE | Yes |
Addresses
Primary practice location
1288 S Governors Ave
Dover, DE 19904-4802
Mailing address
1288 S Governors Ave
Dover, DE 19904-4802
Other providers in Dover, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 8, 2017. 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.