Jared Eugene Hall, ATC
Individual provider Active NPI Athletic Trainer · Rensselaer, IN
NPI 1346277134 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1346277134
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 36000390A (IN)
- Practice address
- 1104 East Grace Street
Jasper County Hospital
Rensselaer, IN 47978-3211 - Phone
- (219) 866-5141
- Fax
- (219) 866-3234
- NPI assigned
- Jun 27, 2006
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36000390A | IN | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 36000390A | IN | Yes |
Addresses
Primary practice location
1104 East Grace Street
Jasper County Hospital
Rensselaer, IN 47978-3211
Mailing address
1104 East Grace Street
Rensselaer, IN 47978-3211
Phone (219) 866-5141
Other providers in Rensselaer, IN
- Franciscan Health Rensselaer, Inc.
- Franciscan Health Rensselaer, Inc.
- Wanda Gay Gifford
- Lori Eileen Groves
- Jaswanth R. Guntakandla
- Laura Anne Hall
- Catherine Marie Hanna
- Deanna Lynn Hannon
- Erin Marie Hardebeck
- Head and Neck Diagnostic Associates, P.C.
All providers in Rensselaer, IN · Athletic Trainer in Indiana
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.