Colton T Schieber, ATC, LAT
Individual provider Active NPI Athletic Trainer · Browning, IL
NPI 1669921979 · NPPES record last updated May 8, 2020
Key facts
- NPI
- 1669921979
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 096005127 (IL)
- Practice address
- 25987 Hollinghead LN
Browning, IL 62624-4078 - Phone
- (217) 248-3701
- NPI assigned
- Sep 27, 2016
- 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 |
|---|---|---|---|
| 096005127 | IL | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Athletic Trainer | 2255A2300X | 096005127 | IL | Yes |
Addresses
Primary practice location
25987 Hollinghead LN
Browning, IL 62624-4078
Mailing address
25987 Hollinghead LN
Browning, IL 62624-4078
Other providers in Browning, IL
All providers in Browning, IL · Athletic Trainer in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 8, 2020. 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.