Eric M. Ahonen, ATC
Individual provider Active NPI Athletic Trainer · Kenosha, WI
NPI 1366769754 · NPPES record last updated Apr 28, 2010
Key facts
- NPI
- 1366769754
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 1062-39 (WI)
- Practice address
- 3915 30TH Ave
Kenosha, WI 53144-1957 - Phone
- (224) 717-6666
- Fax
- (262) 657-7190
- NPI assigned
- Apr 26, 2010
- 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 |
|---|---|---|---|
| 1062-39 | WI | MD | Athletic Trainer |
Interoperability endpoints
- eric.ahonen.p4@direct.athleticoltd.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 1062-39 | WI | Yes |
Addresses
Primary practice location
3915 30TH Ave
Kenosha, WI 53144-1957
Mailing address
3915 30TH Ave
Kenosha, WI 53144-1957
Phone (224) 717-6666
Other providers in Kenosha, WI
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- Fuad Shihab Ahmad
- Imran Ahmed Moinuddin
- Dyson J Ahola
- Ahp 006 LLC
- Nancy Aiello
- William Aiello
- Andrea Aikens
- Stacey M Aker
All providers in Kenosha, WI · Athletic Trainer in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 28, 2010. 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.