Dillon Matthew Hock, LAT, ATC

Individual provider Active NPI Athletic Trainer · Hobart, WI

NPI 1427640259 · NPPES record last updated Feb 3, 2021

Key facts

NPI
1427640259
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
License
2394-39 (WI)
Practice address
4955 Founders Ter Apt 210
Hobart, WI 54155-7712
Phone
(630) 398-0827
NPI assigned
Feb 3, 2021
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

LicenseStateTypeSpecialty
2394-39WIMDAthletic Trainer

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 2394-39 WI Yes

Addresses

Primary practice location

4955 Founders Ter Apt 210
Hobart, WI 54155-7712

Mailing address

4955 Founders Ter Apt 210
Hobart, WI 54155-7712
Phone (630) 398-0827

Other providers in Hobart, WI

All providers in Hobart, WI · Athletic Trainer in Wisconsin

Sources for this page

Verify at the official NPI Registry.