Timothy Lappin, ATC
Individual provider Active NPI Athletic Trainer · Camby, IN
NPI 1104338755 · NPPES record last updated Nov 3, 2017
Key facts
- NPI
- 1104338755
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 36002170A (IN)
- Practice address
- 8346 Abbey Dell Dr
Camby, IN 46113-8260 - Phone
- (904) 861-7787
- NPI assigned
- Nov 3, 2017
- 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 |
|---|---|---|---|
| 36002170A | IN | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 36002170A | IN | Yes |
Addresses
Primary practice location
8346 Abbey Dell Dr
Camby, IN 46113-8260
Mailing address
8346 Abbey Dell Dr
Camby, IN 46113-8260
Other providers in Camby, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 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.