Eileen Gunson, AT
Individual provider Active NPI Athletic Trainer · Pemberton, NJ
NPI 1487074266 · NPPES record last updated Apr 21, 2014
Key facts
- NPI
- 1487074266
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 25MT00029400 (NJ)
- Practice address
- 148 Arneys Mount Rd
Pemberton, NJ 08068-1313 - Phone
- (609) 893-8141
- NPI assigned
- Apr 21, 2014
- Sex
- Female
- 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 |
|---|---|---|---|
| 25MT00029400 | NJ | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 25MT00029400 | NJ | Yes |
Addresses
Primary practice location
148 Arneys Mount Rd
Pemberton, NJ 08068-1313
Mailing address
5404 South Long Beach Blvd
Holgate, NJ 08008
Phone (609) 217-8232
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22 | Medicaid | NJ |
Other names
- Mrs. Eileen Gunson-Bowker
Other providers in Pemberton, NJ
- Nicole Gambardello
- Christina Garson
- Xiomara Gittens
- Patricia D Goodstein
- Patrick T Griggs
- Deena Gutch
- Sara Guzik
- Justin B Harris
- Kyanna Y Hawkins-Deravin
- Stephanie Jenifer
All providers in Pemberton, NJ · Athletic Trainer in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 21, 2014. 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.