Raymond Hall, M.MGT, L/ATC, CSCS
Individual provider Active NPI Athletic Trainer · Center, ND
NPI 1821280025 · NPPES record last updated May 28, 2009
Key facts
- NPI
- 1821280025
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 155-96 (ND)
- Practice address
- 3753 Highway 25
Center, ND 58530-9508 - Phone
- (701) 794-3279
- NPI assigned
- Aug 13, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 155-96 | ND | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 155-96 | ND | Yes |
Addresses
Primary practice location
3753 Highway 25
Center, ND 58530-9508
Mailing address
3753 Highway 25
Center, ND 58530-9508
Phone (701) 794-3279
Other providers in Center, ND
- Coal Country Community Health Center
- Dr. D. J. Trzpuc, DDS
- Anthony Joseph Heinze
- Leslie Rae Jackson-Heinze
- Ember Faith Kindsvogel
- Evelyn Moss
- Oliver County Ambulance Association
All providers in Center, ND · Athletic Trainer in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 28, 2009. 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.