Joelle M Beaudoin, ATC
Individual provider Active NPI Athletic Trainer · Charlevoix, MI
NPI 1851410153 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1851410153
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 06510 M-66 N
Charlevoix, MI 49720 - Phone
- (231) 547-0380
- Fax
- (231) 547-0395
- NPI assigned
- Mar 28, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Michigan Sports Medicine Center | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | MI | Yes |
Addresses
Primary practice location
06510 M-66 N
Charlevoix, MI 49720
Mailing address
6673 E Harbor Dr
Elk Rapids, MI 49629-9533
Phone (231) 264-0487
Other providers in Charlevoix, MI
- Matthew David Batdorff
- Tiffany Ann Baxter
- Bay Area Substance Education Services
- Bay Street Orthopaedics PLLC
- Beacon Dental Center
- Annette Renee Beer
- Wallanda W Berarducci
- Bergmann Center, Inc
- Bjorns House LLC
- Boss Counseling Services
All providers in Charlevoix, MI · Athletic Trainer in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.