Evan Ross Dupuis
Individual provider Active NPI Athletic Trainer · Cheney, WA
NPI 1154448009 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1154448009
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 1951 1St St
Cheney, WA 99004-2000 - Phone
- (509) 559-5038
- NPI assigned
- Mar 24, 2007
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Yes |
Addresses
Primary practice location
1951 1St St
Cheney, WA 99004-2000
Mailing address
111 College Hill St Apt 78
Cheney, WA 99004-2029
Phone (509) 936-0961
Other providers in Cheney, WA
- Jaylene Disney
- Dorius & Simmons, PLLC
- Dr S McDonald PLLC
- Gabriel Anthony Duchesneau
- James R Duffy
- Carlie Leann Durgeloh
- Andrea Durham
- Joshua Thomas Duryea
- Cheyanne Louise Eide
- Wyatt Ekstrom
All providers in Cheney, WA · Athletic Trainer in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.