Joseph Marion Barlage, ATC, LAT

Individual provider Active NPI Athletic Trainer · Greenwood, IN

NPI 1144633728 · NPPES record last updated Jun 11, 2014

Key facts

NPI
1144633728
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
License
36001674A (IN)
Practice address
1185 W County Line Rd
Greenwood, IN 46142-5156
Phone
(317) 884-0995
Fax
(317) 882-7882
NPI assigned
Jun 11, 2014
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
36001674AINMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Greenwood Chiropractic, Inc. Past
since Jul 21, 2004
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 36001674A IN Yes

Addresses

Primary practice location

1185 W County Line Rd
Greenwood, IN 46142-5156

Mailing address

1185 W County Line Rd
Greenwood, IN 46142-5156
Phone (317) 884-0995

Other providers in Greenwood, IN

All providers in Greenwood, IN · Athletic Trainer in Indiana

Sources for this page

Verify at the official NPI Registry.