Nicholas Allen

Individual provider Active NPI Athletic Trainer · Bethlehem, PA

NPI 1104286533 · NPPES record last updated Feb 26, 2016

Key facts

NPI
1104286533
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
Practice address
125 Commonwealth Dr
Bethlehem, PA 18020-9548
Phone
(484) 725-9997
NPI assigned
Feb 26, 2016
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X Yes

Addresses

Primary practice location

125 Commonwealth Dr
Bethlehem, PA 18020-9548

Mailing address

125 Commonwealth Dr
Bethlehem, PA 18020-9548
Phone (484) 725-9997

Other providers in Bethlehem, PA

All providers in Bethlehem, PA · Athletic Trainer in Pennsylvania

Sources for this page

Verify at the official NPI Registry.