Conner Burton

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Cheney, WA

NPI 1780347906 · NPPES record last updated Oct 14, 2021

Key facts

NPI
1780347906
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
800 W 1St St Apt 16C
Cheney, WA 99004-8816
Phone
(509) 480-7147
NPI assigned
Oct 14, 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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes
Athletic Trainer 2255A2300X

Addresses

Primary practice location

800 W 1St St Apt 16C
Cheney, WA 99004-8816

Mailing address

800 W 1St St Apt 16C
Cheney, WA 99004-8816
Phone (509) 480-7147

Other providers in Cheney, WA

All providers in Cheney, WA · Student in an Organized Health Care Education/Training Program in Washington

Sources for this page

Verify at the official NPI Registry.