Justin Halvorson, ATC
Individual provider Active NPI Athletic Trainer · Belgrade, MT
NPI 1699125641 · NPPES record last updated Jun 20, 2016
Key facts
- NPI
- 1699125641
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 903 Silverbow Ave
Belgrade, MT 59714-4222 - Phone
- (406) 599-2117
- NPI assigned
- Jun 20, 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Yes |
Addresses
Primary practice location
903 Silverbow Ave
Belgrade, MT 59714-4222
Mailing address
903 Silverbow Ave
Belgrade, MT 59714-4222
Phone (406) 599-2117
Other providers in Belgrade, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 20, 2016. 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.